<unavail> in Mattawa, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mattawa, Washington. The current practice location for is 101 S William Ave, Mattawa, Washington. For appointments, you can reach them via phone at (509) 932-4499. The mailing address for is 210 Government Rd, Mattawa, Washington and phone number is (509) 932-4499.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609410075. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (509) 932-4499.

Contact Information


	101 S William Ave Mattawa WA 99349-0104
	(509) 932-4499
	(509) 932-5363

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	101 S William Ave, Mattawa, Washington
Authorized Official Name and Position	Dana S Fox (CEO)
Authorized Official Contact	5099324499
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
210 Government Rd Mattawa WA 99349-5116 Ph: (509) 932-4499	101 S William Ave Mattawa WA 99349-0104 Ph: (509) 932-4499

NPI Details:

NPI Number	1609410075
Provider Enumeration Date	10/29/2019
Last Update Date	12/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3274525837
Medicare Enrollment ID	O20240611004556

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609410075	NPI	-	NPPES
1699720797	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Mattawa, WA

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 Government Rd, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Government Way, Mattawa, WA 99349 Phone: 509-932-3535 Fax: 509-488-9939
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Government Road, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Government Way, Mattawa, WA 99349 Phone: 509-488-5256 Fax: 509-488-9939

- Medicare Primary Care in Mattawa, WA