| Mid Columbia Family Health Center | |
|
875 Rock Crk Drive Sw Stevenson WA 98648-0875 | |
| (509) 427-4212 | |
| (509) 427-4955 |
| Full Name | Mid Columbia Family Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 875 Rock Crk Drive Sw, Stevenson, Washington |
| Authorized Official Name and Position | R Allen Laberge (PRESIDENT) |
| Authorized Official Contact | 5094932133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Columbia Family Health Center Po Box 1519 White Salmon WA 98672-1519 Ph: (509) 493-2133 | Mid Columbia Family Health Center 875 Rock Crk Drive Sw Stevenson WA 98648-0875 Ph: (509) 427-4212 |
| NPI Number | 1841405206 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841405206 | NPI | - | NPPES |
| 7065576 | Medicaid | WA | |
| 7033376 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 600416746 (Washington) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 600416746 (Washington) | Primary |
Mid Columbia Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sw Rock Creek Dr, Stevenson, WA 98648 Phone: 509-427-4212 Fax: 509-427-4955 | |
One Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 875 Sw Rock Creek Dr, Stevenson, WA 98648 Phone: 509-427-4212 |