Edmonds Medical Clinic Inc | |
21600 Highway 99 Ste 280 Edmonds WA 98026-8022 | |
(360) 901-6355 | |
Not Available |
Full Name | Edmonds Medical Clinic Inc |
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Speciality | Family Medicine |
Location | 21600 Highway 99 Ste 280, Edmonds, Washington |
Authorized Official Name and Position | Steven Koh (PRESIDENT) |
Authorized Official Contact | 4255827753 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edmonds Medical Clinic Inc 21600 Highway 99 Ste 280 Edmonds WA 98026-8022 Ph: (425) 582-7753 | Edmonds Medical Clinic Inc 21600 Highway 99 Ste 280 Edmonds WA 98026-8022 Ph: (360) 901-6355 |
NPI Number | 1376174979 |
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Provider Enumeration Date | 02/01/2020 |
Last Update Date | 08/01/2020 |
Medicare PECOS PAC ID | 4789011867 |
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Medicare Enrollment ID | O20200302002276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376174979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Steven Sanguk Koh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114114535 PECOS PAC ID: 0648326702 Enrollment ID: I20090915000732 |
Provider Name | Yoon J Park |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801020946 PECOS PAC ID: 3870649882 Enrollment ID: I20090916000455 |
Stevens Center For Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 216th St Sw, Suite 200, Edmonds, WA 98026 Phone: 425-640-4901 Fax: 425-640-4919 | |
Puget Sound Gastroenterology At Edmonds Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21600 Hwy 99, Suite 260, Edmonds, WA 98026 Phone: 425-774-2650 Fax: 425-774-2643 | |
Hope Family Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7614 195th St Sw, Ste 203, Edmonds, WA 98026 Phone: 425-744-0709 Fax: 425-771-1470 | |
Spero Consulting Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 James St, Suite 104, Edmonds, WA 98020 Phone: 425-412-8133 Fax: 425-412-8136 | |
Edmonds Pharmacy @ Stevens Health Center Ltc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21701 76th Ave W, Ste 104 B, Edmonds, WA 98026 Phone: 425-346-2148 Fax: 425-977-4881 | |
Puget Sound Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7315 212th St Sw, Suite 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554 | |
Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23753 76th Ave W, Edmonds, WA 98026 Phone: 206-618-4692 |