| |
310 S Roosevelt Ave Goldendale WA 98620-9201 | |
(509) 773-4022 | |
(509) 773-1941 |
Full Name | |
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Speciality | Clinic/center |
Location | 310 S Roosevelt Ave, Goldendale, Washington |
Authorized Official Name and Position | John Rohrer (CEO) |
Authorized Official Contact | 5097734022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022 | 310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022 |
NPI Number | 1669634747 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669634747 | NPI | - | NPPES |
7591134 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 202000768 (Washington) | Primary |
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