| Granger Medical | |
|
111 Main Street Granger WA 98932 | |
| (509) 454-4143 | |
| Not Available |
| Full Name | Granger Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Main Street, Granger, Washington |
| Authorized Official Name and Position | Rhonda Hauff (COO/DEPUTY CEO) |
| Authorized Official Contact | 5094544143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granger Medical Po Box 2605 Yakima WA 98907-2605 Ph: (509) 454-4143 | Granger Medical 111 Main Street Granger WA 98932 Ph: (509) 454-4143 |
| NPI Number | 1497124861 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Medicare PECOS PAC ID | 6709786585 |
|---|---|
| Medicare Enrollment ID | O20151113001105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497124861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Yakima Neighborhood Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Main Street, Granger, WA 98932 Phone: 509-383-6172 Fax: 509-383-6173 | |
Granger Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Sunnyside Avenue, Granger, WA 98932 Phone: 509-865-6175 | |
Yakima Neighborhood Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Main Street, Granger, WA 98932 Phone: 509-454-4143 |