| Heritage Clinic | |
|
1129 S 2nd Ave Ste B Walla Walla WA 99362-4100 | |
| (509) 520-5520 | |
| Not Available |
| Full Name | Heritage Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1129 S 2nd Ave Ste B, Walla Walla, Washington |
| Authorized Official Name and Position | Robert G Morasch (OWNER) |
| Authorized Official Contact | 9499339644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Clinic 1644 Plaza Way # 427 Walla Walla WA 99362-4325 Ph: (949) 933-9644 | Heritage Clinic 1129 S 2nd Ave Ste B Walla Walla WA 99362-4100 Ph: (509) 520-5520 |
| NPI Number | 1669153045 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 7214381045 |
|---|---|
| Medicare Enrollment ID | O20230928000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669153045 | NPI | - | NPPES |
| 1085023 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert G Morasch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669478137 PECOS PAC ID: 3375612245 Enrollment ID: I20080625000086 |
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