| Montesano Internal Medicine, Ps | |
|
112 E Broadway Ave Montesano WA 98563-3704 | |
| (360) 249-4111 | |
| (360) 249-5220 |
| Full Name | Montesano Internal Medicine, Ps |
|---|---|
| Speciality | Internal Medicine |
| Location | 112 E Broadway Ave, Montesano, Washington |
| Authorized Official Name and Position | Yong Ki Shin (PRESIDENT AND CO-OWNER) |
| Authorized Official Contact | 3602494111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montesano Internal Medicine, Ps 112 E Broadway Ave Montesano WA 98563-3704 Ph: (360) 249-4111 | Montesano Internal Medicine, Ps 112 E Broadway Ave Montesano WA 98563-3704 Ph: (360) 249-4111 |
| NPI Number | 1073683314 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 04/03/2024 |
| Medicare PECOS PAC ID | 0446140362 |
|---|---|
| Medicare Enrollment ID | O20040316000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073683314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yong Ki Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851364988 PECOS PAC ID: 2769372697 Enrollment ID: I20070228000674 |
| Provider Name | Clara C Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376516401 PECOS PAC ID: 1456447317 Enrollment ID: I20071023000787 |
| Provider Name | Karen L Arndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104995596 PECOS PAC ID: 9830382498 Enrollment ID: I20101015000403 |
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Natures Way Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Main St, Montesano, WA 98563 Phone: 360-249-6360 Fax: 360-249-2745 | |
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Capital Medical Center Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Broadway Ave, Montesano, WA 98563 Phone: 360-249-4111 Fax: 360-249-5220 |