General Healthcare, Ps | |
4709 Memory Ln W University Place WA 98466-1038 | |
(253) 973-9328 | |
(253) 566-4982 |
Full Name | General Healthcare, Ps |
---|---|
Speciality | Family Medicine |
Location | 4709 Memory Ln W, University Place, Washington |
Authorized Official Name and Position | Beth Binqiu Liu (MD) |
Authorized Official Contact | 2539739328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
General Healthcare, Ps 4709 Memory Ln. W. University Place WA 98466 Ph: (253) 973-9328 | General Healthcare, Ps 4709 Memory Ln W University Place WA 98466-1038 Ph: (253) 973-9328 |
NPI Number | 1679621759 |
---|---|
Provider Enumeration Date | 01/08/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6800807736 |
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Medicare Enrollment ID | O20060508000233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679621759 | NPI | - | NPPES |
1122944 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00044728 (Washington) | Primary |
Provider Name | Beth B Liu |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1861465692 PECOS PAC ID: 0143253112 Enrollment ID: I20050912000692 |
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