| |
900 S. Auburn St. Kennewick WA 99336-0128 | |
(509) 737-1880 | |
(509) 737-1879 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 900 S. Auburn St., Kennewick, Washington |
Authorized Official Name and Position | Gerald A Paule (CFO) |
Authorized Official Contact | 5095866111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 6128 Kennewick WA 99336-0128 Ph: (509) 737-1878 | 900 S. Auburn St. Kennewick WA 99336-0128 Ph: (509) 737-1880 |
NPI Number | 1235257262 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 10/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235257262 | NPI | - | NPPES |
7137417 | Medicaid | WA | |
3304003 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 | |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 | |
H Matt Smith Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W 1st Ave, Kennewick, WA 99336 Phone: 509-585-5500 Fax: 509-585-4161 |