| Kvh Family Medicine - Cle Elum | |
|
201 Alpha Way Cle Elum WA 98922-1045 | |
| (509) 674-5331 | |
| (509) 674-5034 |
| Full Name | Kvh Family Medicine - Cle Elum |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Alpha Way, Cle Elum, Washington |
| Authorized Official Name and Position | Jean Roberson (DIRECTOR CBO) |
| Authorized Official Contact | 5099338771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kvh Family Medicine - Cle Elum P.o. Box 799 Ellensburg WA 98926 Ph: (509) 962-5060 | Kvh Family Medicine - Cle Elum 201 Alpha Way Cle Elum WA 98922-1045 Ph: (509) 674-5331 |
| NPI Number | 1194747774 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 10/13/2017 |
| Medicare PECOS PAC ID | 0547179608 |
|---|---|
| Medicare Enrollment ID | O20050831000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194747774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Alpine Lakes Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W Railroad St, Suite #200, Cle Elum, WA 98922 Phone: 509-674-5344 Fax: 509-674-5704 |