Easthill Medical Clinic Llc | |
10413 Se 244th St Kent WA 98030-4961 | |
(253) 852-2770 | |
Not Available |
Full Name | Easthill Medical Clinic Llc |
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Speciality | Clinic/Center |
Location | 10413 Se 244th St, Kent, Washington |
Authorized Official Name and Position | Efren Caratao, Jr. (BUSINESS OWNER) |
Authorized Official Contact | 2538522770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Easthill Medical Clinic Llc 10413 Se 244th St Kent WA 98030-4961 Ph: (253) 852-2770 | Easthill Medical Clinic Llc 10413 Se 244th St Kent WA 98030-4961 Ph: (253) 852-2770 |
NPI Number | 1245630979 |
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Provider Enumeration Date | 08/29/2014 |
Last Update Date | 11/03/2014 |
Medicare PECOS PAC ID | 4284958018 |
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Medicare Enrollment ID | O20150126002130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245630979 | NPI | - | NPPES |
208D00000X | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | MD 00028063 (Washington) | Primary |
Provider Name | Efren R Caratao |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1366502601 PECOS PAC ID: 8426039264 Enrollment ID: I20040527000001 |
Provider Name | Makristy D Caratao |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174818421 PECOS PAC ID: 6507006244 Enrollment ID: I20141111000856 |
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