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206 Government Rd Mattawa WA 99349-5116 | |
(509) 932-4499 | |
(509) 932-5363 |
Full Name | |
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Speciality | Clinic/Center |
Location | 206 Government Rd, Mattawa, Washington |
Authorized Official Name and Position | Dana S Fox (CEO) |
Authorized Official Contact | 5099324499 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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210 Government Rd Mattawa WA 99349-5116 Ph: (509) 932-4499 | 206 Government Rd Mattawa WA 99349-5116 Ph: (509) 932-4499 |
NPI Number | 1013743210 |
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Provider Enumeration Date | 09/12/2024 |
Last Update Date | 12/04/2024 |
Medicare PECOS PAC ID | 3274525837 |
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Medicare Enrollment ID | O20240710000864 |
Identifier | Type | State | Issuer |
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1013743210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |