| Family Medical Care Clinic Llc | |
|
3425 Ensign Rd Ne Ste 320 Olympia WA 98506-5068 | |
| (360) 528-8190 | |
| Not Available |
| Full Name | Family Medical Care Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3425 Ensign Rd Ne Ste 320, Olympia, Washington |
| Authorized Official Name and Position | Cassie Rouse (MANAGER) |
| Authorized Official Contact | 3605288190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Clinic Llc 3425 Ensign Rd Ne Ste 320 Olympia WA 98506-5068 Ph: () - | Family Medical Care Clinic Llc 3425 Ensign Rd Ne Ste 320 Olympia WA 98506-5068 Ph: (360) 528-8190 |
| NPI Number | 1225536923 |
|---|---|
| Provider Enumeration Date | 01/28/2018 |
| Last Update Date | 03/16/2018 |
| Medicare PECOS PAC ID | 5698037943 |
|---|---|
| Medicare Enrollment ID | O20180326001381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225536923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Elisabeth Noel Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607664 PECOS PAC ID: 4587920871 Enrollment ID: I20171101002739 |
| Provider Name | Joseph Lewis Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258859 PECOS PAC ID: 9335573344 Enrollment ID: I20191230000705 |
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