| Maranatha Medical Clinic Inc P S | |
|
17900 Talbot Rd S #101 Renton WA 98055-8212 | |
| (425) 235-9614 | |
| (425) 235-1060 |
| Full Name | Maranatha Medical Clinic Inc P S |
|---|---|
| Speciality | Internal Medicine |
| Location | 17900 Talbot Rd S, Renton, Washington |
| Authorized Official Name and Position | Dan L Grav Es (PRESIDENT) |
| Authorized Official Contact | 4252359614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maranatha Medical Clinic Inc P S 17900 Talbot Rd S #101 Renton WA 98055-8212 Ph: (425) 235-9614 | Maranatha Medical Clinic Inc P S 17900 Talbot Rd S #101 Renton WA 98055-8212 Ph: (425) 235-9614 |
| NPI Number | 1205164639 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 09/11/2017 |
| Medicare PECOS PAC ID | 3072657923 |
|---|---|
| Medicare Enrollment ID | O20100216000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205164639 | NPI | - | NPPES |
| 1620509 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17917 (Washington) | Primary |
| Provider Name | Daniel L Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255365839 PECOS PAC ID: 1557405404 Enrollment ID: I20100216000916 |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Rainier Ave S, Renton, WA 98057 Phone: 425-224-2144 Fax: 425-341-9653 | |
Associated Valley Providers Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4361 Talbot Rd S, Suite 112, Renton, WA 98055 Phone: 425-255-5111 Fax: 425-254-0985 | |
Maranatha Medical Clinic Inc P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17900 Talbot Rd S, #101, Renton, WA 98055 Phone: 425-235-9614 Fax: 425-235-1060 | |
Harmonycares Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 Oakesdale Ave Sw Ste C200, Renton, WA 98057 Phone: 866-259-1629 Fax: 855-666-8541 | |
Healthpoint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S 2nd St, Renton, WA 98057 Phone: 425-424-6310 Fax: 425-277-1566 | |
Healthpoint Family First Community Center Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16200 116th Ave Se, Renton, WA 98058 Phone: 425-277-1311 | |
Northwest Neurological & Neurovascular Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Sw 39th St, Suite 150, Renton, WA 98057 Phone: 425-264-2568 Fax: 425-264-2569 |