Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1608 N Road 44, Pasco, Washington |
Authorized Official Name and Position | Christine Trotter (CEO) |
Authorized Official Contact | 5098656175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 190 Toppenish WA 98948-0190 Ph: (509) 543-9280 | 1608 N Road 44 Pasco WA 99301-2667 Ph: (509) 543-9280 |
NPI Number | 1235265455 |
---|---|
Provider Enumeration Date | 02/23/2007 |
Last Update Date | 12/10/2024 |
Medicare PECOS PAC ID | 4385541986 |
---|---|
Medicare Enrollment ID | O20101004000497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235265455 | NPI | - | NPPES |
204171 | Other | WA | LABOR AND INDUSTRIES |
7133291 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Alex B Najera Md Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 N Road 44, Pasco, WA 99301 Phone: 509-544-2156 Fax: 509-544-2158 | |
Columbia Safety Medical Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9530 Bedford St, Pasco, WA 99301 Phone: 509-820-3883 |