Dickson Medical Clinic Pllc | |
500 Front St Lynden WA 98264-1923 | |
(360) 354-4200 | |
(360) 318-0741 |
Full Name | Dickson Medical Clinic Pllc |
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Speciality | Family Medicine |
Location | 500 Front St, Lynden, Washington |
Authorized Official Name and Position | Caitlin Honcoop (DEPUTY OFFICE MANAGER) |
Authorized Official Contact | 3603544200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dickson Medical Clinic Pllc 500 Front St Lynden WA 98264-1923 Ph: (360) 354-4200 | Dickson Medical Clinic Pllc 500 Front St Lynden WA 98264-1923 Ph: (360) 354-4200 |
NPI Number | 1497021547 |
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Provider Enumeration Date | 03/22/2012 |
Last Update Date | 03/22/2012 |
Medicare PECOS PAC ID | 9830350321 |
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Medicare Enrollment ID | O20120410000348 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497021547 | NPI | - | NPPES |
8214876 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00033992 (Washington) | Primary |
Provider Name | David P Dickson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659327088 PECOS PAC ID: 9830350339 Enrollment ID: I20120410000360 |
Family Care Network, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Grover St., Ste. D-1, Lynden, WA 98264 Phone: 360-354-1333 Fax: 360-714-3149 | |
Upper Cervical Of Lynden, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 7th St, Lynden, WA 98264 Phone: 360-354-5341 | |
Lynden Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1610 Grover St, Suite D1, Lynden, WA 98264 Phone: 360-354-1333 Fax: 360-354-5399 | |
Family Care Network, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Grover St., Ste. D-1, Lynden, WA 98264 Phone: 360-354-1333 Fax: 360-354-5399 | |
Lynden Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Grover St, Suite D1, Lynden, WA 98264 Phone: 360-354-1333 Fax: 360-354-5399 |