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319 E Pioneer Ave Montesano WA 98563-4601 | |
| (360) 249-3300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 319 E Pioneer Ave, Montesano, Washington |
| Authorized Official Name and Position | Antone J Eek (EXECUTIVE DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 3605815495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
915 Anderson Dr Aberdeen WA 98520-1006 Ph: (360) 537-4180 | 319 E Pioneer Ave Montesano WA 98563-4601 Ph: (360) 249-3300 |
| NPI Number | 1275031304 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275031304 | NPI | - | NPPES |
| 100366800 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Grant W Jackson Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Pioneer Ave, Montesano, WA 98563 Phone: 360-249-1980 | |
Montesano Internal Medicine, Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 E Broadway Ave, Montesano, WA 98563 Phone: 360-249-4111 Fax: 360-249-5220 | |
Grays Harbor County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W. Broadway Avenue, Suite 3, Montesano, WA 98563 Phone: 360-249-3711 Fax: 360-249-3722 | |
Natures Way Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Main St, Montesano, WA 98563 Phone: 360-249-6360 Fax: 360-249-2745 | |