<unavail> in Goldendale, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Goldendale, Washington. The current practice location for is 317 Sanders Way, Goldendale, Washington. For appointments, you can reach them via phone at (509) 773-4017. The mailing address for is 310 S Roosevelt Ave, Goldendale, Washington and phone number is (509) 773-4022.

is licensed to practice in Washington (license number ). The clinic also participates in the medicare program and its NPI number is 1407952369. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (509) 773-4017.

Contact Information


	317 Sanders Way Goldendale WA 98620-9053
	(509) 773-4017
	(509) 773-1941

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	317 Sanders Way, Goldendale, Washington
Authorized Official Name and Position	Leslie Hiebert (CEO)
Authorized Official Contact	5097734022
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022	317 Sanders Way Goldendale WA 98620-9053 Ph: (509) 773-4017

NPI Details:

NPI Number	1407952369
Provider Enumeration Date	09/16/2006
Last Update Date	12/20/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	0648164269
Medicare Enrollment ID	O20040224000581

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407952369	NPI	-	NPPES
7113681	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(Washington)	Primary

Reviews and Comments

Clinic/Center in Goldendale, WA

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S Roosevelt Ave, Goldendale, WA 98620 Phone: 509-773-4022 Fax: 509-773-1941
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 Sanders Way, Goldendale, WA 98620 Phone: 541-296-1111

- Medicare Primary Care in Goldendale, WA