| |
604 E Main St Auburn WA 98002-5602 | |
(253) 833-6060 | |
(253) 833-3591 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 604 E Main St, Auburn, Washington |
Authorized Official Name and Position | Edward M Kosnoski (OWNER) |
Authorized Official Contact | 2538522020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 6609 Kent WA 98064-6609 Ph: (253) 852-2020 | 604 E Main St Auburn WA 98002-5602 Ph: (253) 833-6060 |
NPI Number | 1255411260 |
---|---|
Provider Enumeration Date | 10/16/2006 |
Last Update Date | 08/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255411260 | NPI | - | NPPES |
1006117 | Medicaid | WA | |
DF8532 | Other | WA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Holistic Family Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 M St Ne Ste 105, Auburn, WA 98002 Phone: 253-766-1161 Fax: 253-804-5655 | |
Emmal Felipe Enterprises Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 M St Se, Suite A, Auburn, WA 98002 Phone: 253-735-2777 Fax: 253-735-4153 | |
Internal Medicine Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 S 381st Way, Auburn, WA 98001 Phone: 206-963-9052 Fax: 206-274-8164 | |
Internal Medicine Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Auburn Ave, Auburn, WA 98002 Phone: 253-833-1735 Fax: 253-833-8515 |