Valley Roots Family Care Pllc | |
617 W. Division St. Mount Vernon WA 98273 | |
(360) 428-1884 | |
(360) 428-1889 |
Full Name | Valley Roots Family Care Pllc |
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Speciality | Family Medicine |
Location | 617 W. Division St., Mount Vernon, Washington |
Authorized Official Name and Position | Tara Thomas (OFFICE MANAGER) |
Authorized Official Contact | 3604281884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Valley Roots Family Care Pllc 617 W. Division St. Mount Vernon WA 98273 Ph: (360) 428-1884 | Valley Roots Family Care Pllc 617 W. Division St. Mount Vernon WA 98273 Ph: (360) 428-1884 |
NPI Number | 1144693250 |
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Provider Enumeration Date | 11/11/2015 |
Last Update Date | 12/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144693250 | NPI | - | NPPES |
0220687 | Other | WA | LABOR AND INDUSTRIES |
2076241 | Medicaid | WA | |
8457228 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00040349 (Washington) | Primary |
Flexi-care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E College Way, Mount Vernon, WA 98273 Phone: 360-770-2687 Fax: 855-450-1005 | |
Skagit Valley Medical Center Inc, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 |