| Columbia Basin Family Medicine Clinic | |
|
220 Nat Washington Way Ephrata WA 98823-1982 | |
| (509) 754-3330 | |
| (509) 754-2351 |
| Full Name | Columbia Basin Family Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 Nat Washington Way, Ephrata, Washington |
| Authorized Official Name and Position | Rosalinda Kibby (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 5097544631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Basin Family Medicine Clinic 220 Nat Washington Way Ephrata WA 98823-1982 Ph: (509) 754-3330 | Columbia Basin Family Medicine Clinic 220 Nat Washington Way Ephrata WA 98823-1982 Ph: (509) 754-3330 |
| NPI Number | 1457414799 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 12/07/2016 |
| Medicare PECOS PAC ID | 8325937675 |
|---|---|
| Medicare Enrollment ID | O20080904000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457414799 | NPI | - | NPPES |
| 0073230 | Other | WA | L & I |
| 8918013 | Other | WA | L & I CRIME VICTIMS |
| CO07813 | Other | WA | MEDICARE RAILROAD |
| 503985 | Other | WA | MEDICARE ID TYPE UNSPECIFIED |
| CO0198 | Other | WA | REGENCE |
| 7105331 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Washington) | Primary |
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