Full Name | |
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Speciality | Clinic/Center |
Location | 916 Koala Dr, Omak, Washington |
Authorized Official Name and Position | Andrew Jones (CEO) |
Authorized Official Contact | 5096621511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 361 Wenatchee WA 98807-0361 Ph: (509) 662-1511 | 916 Koala Dr Omak WA 98841-9759 Ph: (509) 826-1800 |
NPI Number | 1760102545 |
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Provider Enumeration Date | 08/31/2022 |
Last Update Date | 03/12/2024 |
Medicare PECOS PAC ID | 4880504596 |
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Medicare Enrollment ID | O20230712002053 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760102545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Full Circle Health And Wellness Center Pllp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Main St, Omak, WA 98841 Phone: 509-560-3928 | |