Community Health Care | |
15610 89th St. Ct. Kpn Lakebay WA 98349-9840 | |
(253) 597-4550 | |
Not Available |
Full Name | Community Health Care |
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Speciality | Clinic/Center |
Location | 15610 89th St. Ct. Kpn, Lakebay, Washington |
Authorized Official Name and Position | David Flentge (PRESIDENT/CEO) |
Authorized Official Contact | 2535974550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Health Care 1148 Broadway Ste 100 Tacoma WA 98402-3518 Ph: (253) 597-4550 | Community Health Care 15610 89th St. Ct. Kpn Lakebay WA 98349-9840 Ph: (253) 597-4550 |
NPI Number | 1699375345 |
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Provider Enumeration Date | 10/30/2020 |
Last Update Date | 10/30/2020 |
Medicare PECOS PAC ID | 1850201559 |
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Medicare Enrollment ID | O20211201001934 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699375345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Key Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15610 89th Street Court Kp N, Lakebay, WA 98349 Phone: 253-884-9221 Fax: 253-884-5523 |