| Grandview Clinic | |
|
1003 Wallace Way Grandview WA 98930 | |
| (509) 786-1576 | |
| (509) 786-6612 |
| Full Name | Grandview Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1003 Wallace Way, Grandview, Washington |
| Authorized Official Name and Position | Craig Marks (CEO) |
| Authorized Official Contact | 5097862222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandview Clinic 723 Memorial St Prosser WA 99350-1524 Ph: (509) 786-6681 | Grandview Clinic 1003 Wallace Way Grandview WA 98930 Ph: (509) 786-1576 |
| NPI Number | 1376026237 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 03/31/2020 |
| Medicare PECOS PAC ID | 6709787872 |
|---|---|
| Medicare Enrollment ID | O20190222000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376026237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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