| Bellingham Medical Clinic Inc | |
|
4204 Meridian St, Ste 105 Bellingham WA 98226 | |
| (360) 715-9500 | |
| (360) 752-1407 |
| Full Name | Bellingham Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4204 Meridian St, Ste 105, Bellingham, Washington |
| Authorized Official Name and Position | Joy E Krumdiack (OFFICE MANAGER) |
| Authorized Official Contact | 3607159500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellingham Medical Clinic Inc 4204 Meridian St, Ste 105 Bellingham WA 98226 Ph: (360) 715-9500 | Bellingham Medical Clinic Inc 4204 Meridian St, Ste 105 Bellingham WA 98226 Ph: (360) 715-9500 |
| NPI Number | 1457532004 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 03/25/2011 |
| Medicare PECOS PAC ID | 2567459415 |
|---|---|
| Medicare Enrollment ID | O20040430000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457532004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00039703 (Washington) | Primary |
| Provider Name | Gittle G Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811034234 PECOS PAC ID: 1355336504 Enrollment ID: I20040416001126 |
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