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1420 Ahtanum Ridge Dr Union Gap WA 98903-1839 | |
(509) 454-7700 | |
(509) 454-7710 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1420 Ahtanum Ridge Dr, Union Gap, Washington |
Authorized Official Name and Position | Mathew Mathiesen (CFO) |
Authorized Official Contact | 5098371617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 719 Sunnyside WA 98944-0719 Ph: (509) 454-7700 | 1420 Ahtanum Ridge Dr Union Gap WA 98903-1839 Ph: (509) 454-7700 |
NPI Number | 1154861847 |
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Provider Enumeration Date | 03/01/2017 |
Last Update Date | 10/10/2024 |
Identifier | Type | State | Issuer |
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1154861847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |