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295 S College Ave Ste 1 College Place WA 99324-1151 | |
(509) 382-2531 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 295 S College Ave Ste 1, College Place, Washington |
Authorized Official Name and Position | Matt Minor (CFO) |
Authorized Official Contact | 5093822531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1012 S 3rd St Dayton WA 99328-1606 Ph: () - | 295 S College Ave Ste 1 College Place WA 99324-1151 Ph: (509) 382-2531 |
NPI Number | 1851050264 |
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Provider Enumeration Date | 12/13/2021 |
Last Update Date | 12/11/2023 |
Identifier | Type | State | Issuer |
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1851050264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Wwu Campus Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 S College Ave, Suite 101, College Place, WA 99324 Phone: 509-527-2425 Fax: 509-527-2426 | |