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521 Adams Avenue Morton WA 98356-9323 | |
(360) 496-3641 | |
(360) 496-5011 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 521 Adams Avenue, Morton, Washington |
Authorized Official Name and Position | Richard Boggess (CFO) |
Authorized Official Contact | 3604963647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1138 Morton WA 98356-0019 Ph: (360) 496-3702 | 521 Adams Avenue Morton WA 98356-9323 Ph: (360) 496-3641 |
NPI Number | 1427310341 |
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Provider Enumeration Date | 06/15/2012 |
Last Update Date | 12/17/2020 |
Identifier | Type | State | Issuer |
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1427310341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | H173 (Washington) | Primary |