Benton City Clinic | |
701 Dale Ave Benton City WA 99320-5250 | |
(509) 588-4075 | |
(509) 588-4197 |
Full Name | Benton City Clinic |
---|---|
Speciality | Clinic/Center |
Location | 701 Dale Ave, Benton City, Washington |
Authorized Official Name and Position | Craig Marks (CEO) |
Authorized Official Contact | 5097862222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Benton City Clinic 723 Memorial St Prosser WA 99350-1524 Ph: (509) 786-2222 | Benton City Clinic 701 Dale Ave Benton City WA 99320-5250 Ph: (509) 588-4075 |
NPI Number | 1437199072 |
---|---|
Provider Enumeration Date | 06/08/2006 |
Last Update Date | 04/08/2021 |
Medicare PECOS PAC ID | 6709787872 |
---|---|
Medicare Enrollment ID | O20100622000300 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437199072 | NPI | - | NPPES |
7600067 | Medicaid | WA | |
7016165 | Medicaid | WA | |
7064801 | Medicaid | WA | |
0016909 | Other | WA | BCC L & I # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 000056 (Washington) | Primary |