| Medical Center Of Orting Inc Pc | |
|
122 Washington Ave S Orting WA 98360-9802 | |
| (360) 893-2266 | |
| (360) 893-2821 |
| Full Name | Medical Center Of Orting Inc Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 Washington Ave S, Orting, Washington |
| Authorized Official Name and Position | Emad Nabil Girgis (OWNER) |
| Authorized Official Contact | 3608932266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Of Orting Inc Pc Po Box 669 Orting WA 98360-0669 Ph: (360) 893-2266 | Medical Center Of Orting Inc Pc 122 Washington Ave S Orting WA 98360-9802 Ph: (360) 893-2266 |
| NPI Number | 1568523959 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 04/18/2018 |
| Medicare PECOS PAC ID | 6103904818 |
|---|---|
| Medicare Enrollment ID | O20100930047912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568523959 | NPI | - | NPPES |
| W002493 | Other | WA | CHAMPUS |
| 7000995 | Medicaid | WA | |
| MO7242 | Other | WA | REGENCE |
| CS5845 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |