| Cascade Community Healthcare | |
|
2428 W Reynolds Ave Centralia WA 98531 | |
| (360) 330-9044 | |
| Not Available |
| Full Name | Cascade Community Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 2428 W Reynolds Ave, Centralia, Washington |
| Authorized Official Name and Position | Pamela Trumble (CREDENTIALING) |
| Authorized Official Contact | 3603309044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Community Healthcare 2428 W Reynolds Ave Centralia WA 98531 Ph: (360) 330-9044 | Cascade Community Healthcare 2428 W Reynolds Ave Centralia WA 98531 Ph: (360) 330-9044 |
| NPI Number | 1568152486 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568152486 | NPI | - | NPPES |
| 2283969 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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