| Harbor Family Practice Inc | |
|
800 Alder St South Bend WA 98586 | |
| (360) 875-5339 | |
| (360) 875-5042 |
| Full Name | Harbor Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Alder St, South Bend, Washington |
| Authorized Official Name and Position | Frank A Hing (PRESIDENT, OWNER) |
| Authorized Official Contact | 3608755339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Family Practice Inc Po Box 227 South Bend WA 98586-0227 Ph: (360) 875-5339 | Harbor Family Practice Inc 800 Alder St South Bend WA 98586 Ph: (360) 875-5339 |
| NPI Number | 1558567222 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558567222 | NPI | - | NPPES |
| 7087810 | Medicaid | WA | |
| HI4845 | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00020716 (Washington) | Primary |
Willapa Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 826 Alder St, South Bend, WA 98586 Phone: 360-875-5579 Fax: 360-875-5235 | |
Willapa Family Medicine Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Alder St, South Bend, WA 98586 Phone: 360-875-4502 Fax: 360-875-5962 |