| Lopez Medical Clinic | |
|
103 Washburn Lopez WA 98261 | |
| (360) 468-2245 | |
| Not Available |
| Full Name | Lopez Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 103 Washburn, Lopez, Washington |
| Authorized Official Name and Position | Elise J Cutter (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3602991301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Medical Clinic 1211 24th St Anacortes WA 98221-2557 Ph: (360) 299-1300 | Lopez Medical Clinic 103 Washburn Lopez WA 98261 Ph: (360) 468-2245 |
| NPI Number | 1609896802 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 01/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609896802 | NPI | - | NPPES |
| 7105398 | Medicaid | WA | |
| 0034447 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H134 (Washington) | Primary |
Lopez Island Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Washburn, Lopez, WA 98261 Phone: 360-468-2245 |