Ghch Aberdeen F Street Clinic | |
319 E Pioneer Ave Montesano WA 98563-4601 | |
(360) 249-3300 | |
Not Available |
Full Name | Ghch Aberdeen F Street Clinic |
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Speciality | Clinic/Center |
Location | 319 E Pioneer Ave, Montesano, Washington |
Authorized Official Name and Position | Niall Foley (CFO) |
Authorized Official Contact | 3605375145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ghch Aberdeen F Street Clinic 915 Anderson Dr Aberdeen WA 98520-1006 Ph: () - | Ghch Aberdeen F Street Clinic 319 E Pioneer Ave Montesano WA 98563-4601 Ph: (360) 249-3300 |
NPI Number | 1083084677 |
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Provider Enumeration Date | 09/25/2015 |
Last Update Date | 10/14/2019 |
Medicare PECOS PAC ID | 3577462365 |
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Medicare Enrollment ID | O20180322001143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083084677 | NPI | - | NPPES |
100366800 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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