Chuckanut Family Medicine | |
1310 10th St. Suite 104 Bellingham WA 98225 | |
(360) 594-0592 | |
(360) 526-2165 |
Full Name | Chuckanut Family Medicine |
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Speciality | Family Medicine |
Location | 1310 10th St. Suite 104, Bellingham, Washington |
Authorized Official Name and Position | Keith Amzen (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3603188800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chuckanut Family Medicine 709 W Orchard Dr. Suite 4 Bellingham WA 98225 Ph: (360) 318-8800 | Chuckanut Family Medicine 1310 10th St. Suite 104 Bellingham WA 98225 Ph: (360) 594-0592 |
NPI Number | 1730749433 |
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Provider Enumeration Date | 06/17/2019 |
Last Update Date | 07/27/2022 |
Medicare PECOS PAC ID | 1658705975 |
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Medicare Enrollment ID | O20191219001460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730749433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
Provider Name | Jamie Lauren Kendall-weed |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538303797 PECOS PAC ID: 3072765999 Enrollment ID: I20171226000418 |
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