| Chas North County Dental Clinic | |
|
401 S Main Street Deer Park WA 99006 | |
| (509) 444-8888 | |
| (509) 444-7806 |
| Full Name | Chas North County Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 401 S Main Street, Deer Park, Washington |
| Authorized Official Name and Position | Aaron Wilson (CEO) |
| Authorized Official Contact | 5094448888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chas North County Dental Clinic 611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | Chas North County Dental Clinic 401 S Main Street Deer Park WA 99006 Ph: (509) 444-8888 |
| NPI Number | 1336368182 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336368182 | NPI | - | NPPES |
| 5049697 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pioneer Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 E J St Ste 2b, Deer Park, WA 99006 Phone: 509-999-2123 | |
Deer Park Family Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 E D St, Deer Park, WA 99006 Phone: 509-276-5005 Fax: 509-276-6785 | |
Enabled Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W Crawford St, Deer Park, WA 99006 Phone: 425-400-9335 | |
Chattaroy Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 E. Crawford Ave., Deer Park, WA 99006 Phone: 509-276-2554 Fax: 509-276-2564 | |
Chas North County Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 S Main, Deer Park, WA 99006 Phone: 509-444-8200 Fax: 509-444-7806 |