| Family Health Care Of Ellensburg | |
|
107 E Mountain View Ave Ellensburg WA 98926-5312 | |
| (509) 962-6348 | |
| (509) 962-2003 |
| Full Name | Family Health Care Of Ellensburg |
|---|---|
| Speciality | Family Medicine |
| Location | 107 E Mountain View Ave, Ellensburg, Washington |
| Authorized Official Name and Position | Byron L Haney (PRESIDENT) |
| Authorized Official Contact | 5099626348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Of Ellensburg 107 E Mountain View Ave Ellensburg WA 98926-5312 Ph: (509) 962-6348 | Family Health Care Of Ellensburg 107 E Mountain View Ave Ellensburg WA 98926-5312 Ph: (509) 962-6348 |
| NPI Number | 1568575504 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568575504 | NPI | - | NPPES |
| 4582 | Other | WA | GROUP HEALTH |
| 33120 | Other | WA | LABOR & INDUSTRIES |
| 7047830 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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