Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 916 Koala Ave, Omak, Washington |
Authorized Official Name and Position | Glenn Adams (COO) |
Authorized Official Contact | 5096638711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 361 Wenatchee WA 98807-0361 Ph: (509) 663-8711 | 916 Koala Ave Omak WA 98841-9576 Ph: (509) 826-1800 |
NPI Number | 1992042709 |
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Provider Enumeration Date | 01/14/2013 |
Last Update Date | 03/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992042709 | NPI | - | NPPES |
7070329 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Washington) | Primary |
Full Circle Health And Wellness Center Pllp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Main St, Omak, WA 98841 Phone: 509-560-3928 | |