Hometown Family Medicine Ps | |
210 W Main Ave Ritzville WA 99169-1410 | |
(509) 659-4800 | |
(509) 659-4801 |
Full Name | Hometown Family Medicine Ps |
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Speciality | Clinic/Center |
Location | 210 W Main Ave, Ritzville, Washington |
Authorized Official Name and Position | Charles M Sackmann (MD-OWNER) |
Authorized Official Contact | 5096594800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hometown Family Medicine Ps Po Box 438 210 W. Main Ritzville WA 99169 Ph: (509) 659-4800 | Hometown Family Medicine Ps 210 W Main Ave Ritzville WA 99169-1410 Ph: (509) 659-4800 |
NPI Number | 1881991131 |
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Provider Enumeration Date | 02/23/2011 |
Last Update Date | 04/13/2015 |
Medicare PECOS PAC ID | 8426232695 |
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Medicare Enrollment ID | O20110413000028 |
Identifier | Type | State | Issuer |
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1881991131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Charles M Sackmann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396759635 PECOS PAC ID: 6204850191 Enrollment ID: I20060118000744 |
Ritzville Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 903 S Adams St, Ritzville, WA 99169 Phone: 509-659-5402 Fax: 509-659-1252 |