Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2704 I St Ne, Auburn, Washington |
Authorized Official Name and Position | Duane Nakamura (CREDENTIALING ANALYST) |
Authorized Official Contact | 4252771311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
955 Powell Ave Sw Renton WA 98057-2908 Ph: (425) 277-1311 | 2704 I St Ne Auburn WA 98002-2411 Ph: (253) 876-3940 |
NPI Number | 1972845691 |
---|---|
Provider Enumeration Date | 03/20/2013 |
Last Update Date | 08/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972845691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600461511 (Washington) | Primary |
Holistic Family Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 M St Ne Ste 105, Auburn, WA 98002 Phone: 253-766-1161 Fax: 253-804-5655 | |
Emmal Felipe Enterprises Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 M St Se, Suite A, Auburn, WA 98002 Phone: 253-735-2777 Fax: 253-735-4153 | |
Internal Medicine Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 S 381st Way, Auburn, WA 98001 Phone: 206-963-9052 Fax: 206-274-8164 | |
Internal Medicine Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Auburn Ave, Auburn, WA 98002 Phone: 253-833-1735 Fax: 253-833-8515 |