Camas Center For Community Wellness | |
1821 Leclerc Rd N Cusick WA 99119-9682 | |
(509) 447-7111 | |
Not Available |
Full Name | Camas Center For Community Wellness |
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Speciality | General Practice |
Location | 1821 Leclerc Rd N, Cusick, Washington |
Authorized Official Name and Position | Clayton Kersting (DIRECTOR OF MEDICAL SERVICES) |
Authorized Official Contact | 5094477111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Camas Center For Community Wellness Po Box 67 Cusick WA 99119-0067 Ph: (509) 447-7111 | Camas Center For Community Wellness 1821 Leclerc Rd N Cusick WA 99119-9682 Ph: (509) 447-7111 |
NPI Number | 1396937769 |
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Provider Enumeration Date | 08/09/2007 |
Last Update Date | 09/13/2023 |
Medicare PECOS PAC ID | 1951498922 |
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Medicare Enrollment ID | O20071107000736 |
Identifier | Type | State | Issuer |
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1396937769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Provider Name | Angelika B Kraus |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801988902 PECOS PAC ID: 6507837721 Enrollment ID: I20040803000151 |
Provider Name | Karen L Lee |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093725780 PECOS PAC ID: 6608874805 Enrollment ID: I20061127000037 |
Provider Name | Ryan A Leisy |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982741195 PECOS PAC ID: 4880797182 Enrollment ID: I20070306000716 |
Provider Name | Lora L Jasman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821197740 PECOS PAC ID: 8628165586 Enrollment ID: I20071025000085 |
Provider Name | Kimberlyn A Johnstone |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528128907 PECOS PAC ID: 7618051327 Enrollment ID: I20080219000697 |
Provider Name | Clayton W Kersting |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962594234 PECOS PAC ID: 8527955244 Enrollment ID: I20100701000754 |
Provider Name | Hilary Hopkins |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467834614 PECOS PAC ID: 8820307515 Enrollment ID: I20160519002193 |
Provider Name | Annette C Hall |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235565805 PECOS PAC ID: 7517271570 Enrollment ID: I20190201002579 |
Provider Name | Kimberly Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851308191 PECOS PAC ID: 5698796563 Enrollment ID: I20190225001817 |
Provider Name | Jennifer Marie Tackitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730667833 PECOS PAC ID: 1951641752 Enrollment ID: I20190313002817 |
Provider Name | Krystina Felix |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689049132 PECOS PAC ID: 4486058187 Enrollment ID: I20210805001496 |
Provider Name | Jaime Hopoi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083384119 PECOS PAC ID: 1658760301 Enrollment ID: I20220119000770 |
Provider Name | Angela Marie Hiebert |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760138192 PECOS PAC ID: 6507226412 Enrollment ID: I20230724001290 |
Provider Name | Annie Frederick |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1205093911 PECOS PAC ID: 2365890233 Enrollment ID: I20231204000619 |
Provider Name | Anita Toyo Waterman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487212239 PECOS PAC ID: 3274075981 Enrollment ID: I20240610003189 |