Grandview Medical Center | |
1000 Wallace Way Grandview WA 98930-8805 | |
(509) 882-4275 | |
(509) 882-2049 |
Full Name | Grandview Medical Center |
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Speciality | Clinic/Center |
Location | 1000 Wallace Way, Grandview, Washington |
Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
Authorized Official Contact | 5098656175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Grandview Medical Center Po Box 190 Toppenish WA 98948-0190 Ph: (509) 882-4275 | Grandview Medical Center 1000 Wallace Way Grandview WA 98930-8805 Ph: (509) 882-4275 |
NPI Number | 1134255847 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 11/01/2022 |
Medicare PECOS PAC ID | 4385541986 |
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Medicare Enrollment ID | O20101004001323 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134255847 | NPI | - | NPPES |
30820 | Other | WA | LABOR AND INDUSTRIES |
7033921 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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