| Casa De Esperanza Grandview | |
|
300 Division St Grandview WA 98930-1359 | |
| (509) 882-3273 | |
| Not Available |
| Full Name | Casa De Esperanza Grandview |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 300 Division St, Grandview, Washington |
| Authorized Official Name and Position | Christy Bracewell Trotter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Esperanza Grandview 300 Division St Grandview WA 98930-1359 Ph: (509) 882-3273 | Casa De Esperanza Grandview 300 Division St Grandview WA 98930-1359 Ph: (509) 882-3273 |
| NPI Number | 1003945205 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003945205 | NPI | - | NPPES |
| 1994235 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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