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355 Chardonnay Ave Prosser WA 99350-9521 | |
(509) 781-6366 | |
(509) 781-6367 |
Full Name | |
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Speciality | Clinic/Center |
Location | 355 Chardonnay Ave, Prosser, Washington |
Authorized Official Name and Position | Mathew Mathiesen (CFO) |
Authorized Official Contact | 5098371379 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 719 Sunnyside WA 98944-0719 Ph: (509) 837-1617 | 355 Chardonnay Ave Prosser WA 99350-9521 Ph: (509) 781-6366 |
NPI Number | 1912305905 |
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Provider Enumeration Date | 12/08/2014 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 1658280896 |
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Medicare Enrollment ID | O20141230000948 |
Identifier | Type | State | Issuer |
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1912305905 | NPI | - | NPPES |
Prosser Public Hospital District Of Benton County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Memorial St, Prosser, WA 99350 Phone: 509-786-2222 | |
Martin Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Scenic Dr, Prosser, WA 99350 Phone: 509-303-9570 | |
Prosser Public Hospital District Of Benton County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Memorial St Ste 3, Prosser, WA 99350 Phone: 509-786-2222 | |