Mid Columbia Family Health Center | |
65371 Highway 14 White Salmon WA 98672-9867 | |
(509) 493-2133 | |
(509) 493-9544 |
Full Name | Mid Columbia Family Health Center |
---|---|
Speciality | Clinic/Center |
Location | 65371 Highway 14, White Salmon, Washington |
Authorized Official Name and Position | R Allen Laberge (PRESIDENT) |
Authorized Official Contact | 5094932133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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 65371 Highway 14 White Salmon WA 98672-9867 Ph: (509) 493-2133 |
NPI Number | 1699704676 |
---|---|
Provider Enumeration Date | 07/01/2006 |
Last Update Date | 11/26/2018 |
Medicare PECOS PAC ID | 1658268875 |
---|---|
Medicare Enrollment ID | O20040302001288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699704676 | NPI | - | NPPES |
7033376 | Medicaid | WA | |
7065113 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 600416746 (Washington) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Washington) | Primary |
Provider Name | Liette C Witherrite |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265490064 PECOS PAC ID: 3870538275 Enrollment ID: I20060717000061 |
Provider Name | Troy R Witherrite |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073550323 PECOS PAC ID: 9032113394 Enrollment ID: I20060830000020 |
Provider Name | Christopher Samuels |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780660175 PECOS PAC ID: 6103924568 Enrollment ID: I20070607000686 |
Provider Name | Roy Laberge |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487646881 PECOS PAC ID: 5698832400 Enrollment ID: I20100204000018 |
Provider Name | Alicia Suzanna Gimenez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780676148 PECOS PAC ID: 7012050669 Enrollment ID: I20100204000085 |
Provider Name | Gregory D Zuck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356333892 PECOS PAC ID: 3375686637 Enrollment ID: I20100209000147 |
Provider Name | Deana Elizabeth Dahl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679622344 PECOS PAC ID: 0749428845 Enrollment ID: I20130531000303 |
Provider Name | Christopher R Faison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033434964 PECOS PAC ID: 5496900052 Enrollment ID: I20140304000039 |
Provider Name | Melissa A Sutton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154610426 PECOS PAC ID: 4688892854 Enrollment ID: I20140829001422 |
Provider Name | Tessa T Waterbury Wallace |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578705950 PECOS PAC ID: 1254508187 Enrollment ID: I20180905002963 |
Provider Name | Margot R Bolstad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124082458 PECOS PAC ID: 1254339856 Enrollment ID: I20190301000481 |
Provider Name | Kimberly A Thomson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598204653 PECOS PAC ID: 0244563773 Enrollment ID: I20200311000326 |
Provider Name | Tracy M Rushing |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447576939 PECOS PAC ID: 6204081805 Enrollment ID: I20210519003139 |
Provider Name | Karin Guertin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649517350 PECOS PAC ID: 2668859604 Enrollment ID: I20220513000851 |
Mid Columbia Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
One Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65371 Highway 14, White Salmon, WA 98672 Phone: 509-493-2133 | |
Skyline Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 Ne Skyline Dr, White Salmon, WA 98672 Phone: 509-637-2810 | |
Providence Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65371 Highway 14, White Salmon, WA 98672 Phone: 503-216-0790 | |
White Salmon Family Practice Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181jewett Blvd, White Salmon, WA 98672 Phone: 831-206-0921 |