| Healthpoint Midway Medical | |
|
26401 Pacific Hwy S. Suite 101 Des Moines WA 98198 | |
| (206) 870-3590 | |
| (253) 839-1312 |
| Full Name | Healthpoint Midway Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 26401 Pacific Hwy S., Des Moines, Washington |
| Authorized Official Name and Position | Duane Nakamura (CREDENTIALING) |
| Authorized Official Contact | 4252771311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpoint Midway Medical 955 Powell Ave Sw Renton WA 98057-2908 Ph: (425) 277-1311 | Healthpoint Midway Medical 26401 Pacific Hwy S. Suite 101 Des Moines WA 98198 Ph: (206) 870-3590 |
| NPI Number | 1922351527 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 9335042886 |
|---|---|
| Medicare Enrollment ID | O20130513000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922351527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600461511 (Washington) | Primary |
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