| |
19720 68th Ave W Suite B Lynnwood WA 98036-4568 | |
(425) 776-8414 | |
(425) 672-1084 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 19720 68th Ave W, Lynnwood, Washington |
Authorized Official Name and Position | Arthur Coday (PRESIDENT) |
Authorized Official Contact | 4257768414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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19720 68th Ave W Suite B Lynnwood WA 98036-4568 Ph: (425) 776-8414 | 19720 68th Ave W Suite B Lynnwood WA 98036-4568 Ph: (425) 776-8414 |
NPI Number | 1164555652 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164555652 | NPI | - | NPPES |
0165879 | Other | WA | DEPT. LABOR & INDUSTRIES |
7075575 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Washington) | Primary |
Vvmd Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6508 196th St Sw, Lynnwood, WA 98036 Phone: 425-673-2572 Fax: 425-673-4131 | |
Connect Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 188th St Sw Ste 250, Lynnwood, WA 98037 Phone: 425-657-3362 Fax: 425-616-1530 | |
Edmonds Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6101 200th St Sw, Ste#208, Lynnwood, WA 98036 Phone: 425-775-2066 Fax: 425-775-5306 |