Main Street Health Associates, P.s. | |
418 West Main Avenue Brewster WA 98812 | |
(509) 689-8900 | |
(509) 689-9031 |
Full Name | Main Street Health Associates, P.s. |
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Speciality | Clinic/center - Rural Health |
Location | 418 West Main Avenue, Brewster, Washington |
Authorized Official Name and Position | Linda Niehaus (PRESIDENT) |
Authorized Official Contact | 5096898900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Main Street Health Associates, P.s. Po Box 40 Brewster WA 98812-0040 Ph: (509) 689-8900 | Main Street Health Associates, P.s. 418 West Main Avenue Brewster WA 98812 Ph: (509) 689-8900 |
NPI Number | 1821053208 |
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Provider Enumeration Date | 04/19/2006 |
Last Update Date | 12/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821053208 | NPI | - | NPPES |
7086135 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 601803678 (Washington) | Secondary |
261QR1300X | Clinic/center - Rural Health | 601803678 (Washington) | Primary |
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