| Broadway Clinic Inc | |
|
104 W 4th St Suite # 105 Aberdeen WA 98520-3932 | |
| (360) 538-7292 | |
| (360) 533-2566 |
| Full Name | Broadway Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 W 4th St, Aberdeen, Washington |
| Authorized Official Name and Position | Antoine Douglass Johnson (FAMILY MEDICINE PHYICIAN CEO BROAWA) |
| Authorized Official Contact | 3605387292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Clinic Inc Po Box 149 Aberdeen WA 98520-0063 Ph: (360) 538-7292 | Broadway Clinic Inc 104 W 4th St Suite # 105 Aberdeen WA 98520-3932 Ph: (360) 538-7292 |
| NPI Number | 1548370547 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548370547 | NPI | - | NPPES |
| 7109903 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Timothy H. Troeh, M D P S Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 9th Ave, Aberdeen, WA 98520 Phone: 360-589-6982 | |
Hany G Bashandy Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Anderson Dr Ste 205, Aberdeen, WA 98520 Phone: 360-533-6038 Fax: 360-538-0807 | |
Kenneth I Hunt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 N H St, Aberdeen, WA 98520 Phone: 360-537-6391 Fax: 360-537-6322 | |
Colette M Kato Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Basich Blvd, Suite A, Aberdeen, WA 98520 Phone: 360-532-1800 Fax: 360-532-2658 | |
Harbor Infectious Diseases Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Graves Ave, Aberdeen, WA 98520 Phone: 360-532-2311 | |
Grays Harbor Vision Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 N Broadway St, Aberdeen, WA 98520 Phone: 360-533-1880 Fax: 360-533-1886 | |
Coastal Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1921 Sumner Avenue, Aberdeen, WA 98520 Phone: 360-538-0135 Fax: 360-533-3475 |