| Cedar Crest Wholehealthmedicalcenterpllc | |
|
100 Cedar Crest Dr Winlock WA 98596-9791 | |
| (360) 785-0300 | |
| (360) 785-3330 |
| Full Name | Cedar Crest Wholehealthmedicalcenterpllc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Cedar Crest Dr, Winlock, Washington |
| Authorized Official Name and Position | Kim Leiann Teitzel (BILLING REPRESENTATIVE) |
| Authorized Official Contact | 3607850300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Crest Wholehealthmedicalcenterpllc 100 Cedar Crest Dr Winlock WA 98596-9791 Ph: (360) 785-0300 | Cedar Crest Wholehealthmedicalcenterpllc 100 Cedar Crest Dr Winlock WA 98596-9791 Ph: (360) 785-0300 |
| NPI Number | 1225363351 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225363351 | NPI | - | NPPES |
| 7117534 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0028509 (Washington) | Primary |
Valley View Health Center - Winlock Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Cedar Crest Dr, Winlock, WA 98596 Phone: 360-785-9400 Fax: 360-785-0236 |