| Lake Chelan Clinic, P.c. | |
|
219 E Johnson Ave Chelan WA 98816-9160 | |
| (509) 682-2511 | |
| (509) 682-2515 |
| Full Name | Lake Chelan Clinic, P.c. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 219 E Johnson Ave, Chelan, Washington |
| Authorized Official Name and Position | Barbara Berg (ADMINISTRATOR) |
| Authorized Official Contact | 5096822511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Chelan Clinic, P.c. Po Box 368 Chelan WA 98816-0368 Ph: (509) 682-2511 | Lake Chelan Clinic, P.c. 219 E Johnson Ave Chelan WA 98816-9160 Ph: (509) 682-2511 |
| NPI Number | 1073572855 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073572855 | NPI | - | NPPES |
| 7115603 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 503851 (Washington) | Primary |
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Columbia Valley Community Health Chelan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 S Apple Blossom Dr, Chelan, WA 98816 Phone: 509-682-6000 Fax: 509-682-6192 | |
Lake Chelan Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 E. Johnson Ave., Chelan, WA 98816 Phone: 509-682-2511 Fax: 509-682-2511 | |
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Acupuncture Garden Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 W. Woodin Ave., Chelan, WA 98816 Phone: 509-888-7370 | |
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