Fasa Family Wellness Pllc | |
1220 W 1st St Suite B Centralia WA 98531-3018 | |
(360) 736-4151 | |
Not Available |
Full Name | Fasa Family Wellness Pllc |
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Speciality | Family Medicine |
Location | 1220 W 1st St, Centralia, Washington |
Authorized Official Name and Position | Dana Eberhard (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3607062767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fasa Family Wellness Pllc 1610 Bishop Rd Sw Ste 101 Tumwater WA 98512-7303 Ph: (360) 338-0004 | Fasa Family Wellness Pllc 1220 W 1st St Suite B Centralia WA 98531-3018 Ph: (360) 736-4151 |
NPI Number | 1679979769 |
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Provider Enumeration Date | 11/17/2014 |
Last Update Date | 05/20/2021 |
Medicare PECOS PAC ID | 7618290297 |
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Medicare Enrollment ID | O20150427002532 |
Identifier | Type | State | Issuer |
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1679979769 | NPI | - | NPPES |
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