Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 529 Jasmine St, Omak, Washington |
Authorized Official Name and Position | Christina Wagar (COO-CO-INTERIM CEO) |
Authorized Official Contact | 5098261760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 793 Omak WA 98841-0793 Ph: (509) 826-1600 | 529 Jasmine St Omak WA 98841-9589 Ph: (509) 826-1600 |
NPI Number | 1558398230 |
---|---|
Provider Enumeration Date | 06/27/2006 |
Last Update Date | 01/30/2025 |
Medicare PECOS PAC ID | 6800707951 |
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Medicare Enrollment ID | O20031219000855 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558398230 | NPI | - | NPPES |
0176652 | Medicaid | WA | |
1013242 | Medicaid | WA | |
7121411 | Medicaid | WA | |
2021761 | Medicaid | WA | |
7119647 | Medicaid | WA | |
7590805 | Medicaid | WA | |
2261029 | Medicaid | WA |
Full Circle Health And Wellness Center Pllp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Main St, Omak, WA 98841 Phone: 509-560-3928 | |