| Clark County Public Health | |
|
1601 E Fourth Plain Blvd Bldg 17 3rd Floor Suite A338 Vancouver WA 98661-3713 | |
| (360) 397-8000 | |
| (360) 397-8110 |
| Full Name | Clark County Public Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 E Fourth Plain Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Josh Gossage (MANAGEMENT ANALYST) |
| Authorized Official Contact | 5643978102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark County Public Health Po Box 5000 Vancouver WA 98666-5000 Ph: (360) 397-8000 | Clark County Public Health 1601 E Fourth Plain Blvd Bldg 17 3rd Floor Suite A338 Vancouver WA 98661-3713 Ph: (360) 397-8000 |
| NPI Number | 1700811635 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 11/24/2021 |
| Medicare PECOS PAC ID | 6406848027 |
|---|---|
| Medicare Enrollment ID | O20040401001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700811635 | NPI | - | NPPES |
| 1017721 | Medicaid | WA | |
| 1019189 | Medicaid | WA | |
| 1010976 | Medicaid | WA | |
| 1000050 | Medicaid | WA | |
| 1022061 | Medicaid | WA |
| Provider Name | Alan Melnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639197221 PECOS PAC ID: 3678581709 Enrollment ID: I20061004000075 |
| Provider Name | Teresa A Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760681084 PECOS PAC ID: 1850468711 Enrollment ID: I20171204002971 |
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