Convenient Healthcare | |
1052 Douglas St Longview WA 98632-2102 | |
(360) 425-5845 | |
(360) 577-9066 |
Full Name | Convenient Healthcare |
---|---|
Speciality | Family Medicine |
Location | 1052 Douglas St, Longview, Washington |
Authorized Official Name and Position | Bert Michael Hale (PRESIDENT) |
Authorized Official Contact | 3604255845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Convenient Healthcare 1052 Douglas St Longview WA 98632-2102 Ph: (360) 425-5845 | Convenient Healthcare 1052 Douglas St Longview WA 98632-2102 Ph: (360) 425-5845 |
NPI Number | 1225251390 |
---|---|
Provider Enumeration Date | 04/10/2007 |
Last Update Date | 10/09/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225251390 | NPI | - | NPPES |
060706 | Other | WA | REGENCE BLUE CROSS -WA |
40060 | Other | WA | LABOR AND INDUSTRY |
7048580 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00016670 (Washington) | Primary |
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