| Beach Clinic Inc P S | |
|
801 N. Montesano Westport WA 98595 | |
| (360) 268-0195 | |
| (360) 268-1442 |
| Full Name | Beach Clinic Inc P S |
|---|---|
| Speciality | Family Medicine |
| Location | 801 N. Montesano, Westport, Washington |
| Authorized Official Name and Position | Shelly J Dueber (PHYSICIAN) |
| Authorized Official Contact | 3602680195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Clinic Inc P S 801 N Montesano Po Box 2229 Westport WA 98595 Ph: (360) 268-0195 | Beach Clinic Inc P S 801 N. Montesano Westport WA 98595 Ph: (360) 268-0195 |
| NPI Number | 1770787335 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 4486624723 |
|---|---|
| Medicare Enrollment ID | O20040726001378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770787335 | NPI | - | NPPES |
| 7103187 | Medicaid | WA | |
| 7102221 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001807 (Washington) | Primary |
| Provider Name | Shelly Dueber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982786968 PECOS PAC ID: 2163492331 Enrollment ID: I20110209000306 |
Grays Harbor Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Montesano St, Westport, WA 98595 Phone: 866-537-2778 | |
Grays Harbor Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Montesano St, Suite 200, Westport, WA 98595 Phone: 866-537-2778 |