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4225 Hoyt Ave Ste C Everett WA 98203-2351 | |
(425) 252-2313 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 4225 Hoyt Ave Ste C, Everett, Washington |
Authorized Official Name and Position | Earl Dan Bardin (PRESIDENT) |
Authorized Official Contact | 4252522313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4225 Hoyt Ave Ste C Everett WA 98203-2351 Ph: (425) 252-2313 | 4225 Hoyt Ave Ste C Everett WA 98203-2351 Ph: (425) 252-2313 |
NPI Number | 1922131762 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 12/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922131762 | NPI | - | NPPES |
1027812 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | WH20734 (Washington) | Primary |
Community Health Center Of Snohomish County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Casino Rd, Everett, WA 98203 Phone: 425-789-3700 | |
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