Cougar Health Services | |
1125 Se Washington Street Pullman WA 99164-2302 | |
(509) 335-3575 | |
(509) 335-1684 |
Full Name | Cougar Health Services |
---|---|
Speciality | Family Medicine |
Location | 1125 Se Washington Street, Pullman, Washington |
Authorized Official Name and Position | Joel W. Schwartzkopf (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5093353575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cougar Health Services 1125 Se Washington Street Po Box 642302 Pullman WA 99164-2302 Ph: (509) 335-3575 | Cougar Health Services 1125 Se Washington Street Pullman WA 99164-2302 Ph: (509) 335-3575 |
NPI Number | 1285713776 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 05/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285713776 | NPI | - | NPPES |
8936100 | Other | WA | CRIME VICTIMS |
0048200 | Other | WA | LABOR & INDUSTRIES |
7082100 | Medicaid | WA | |
7901051 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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