| Mountainview Womens Health Center | |
|
240 Division St Grandview WA 98930-1357 | |
| (509) 882-4700 | |
| (509) 882-6088 |
| Full Name | Mountainview Womens Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 Division St, Grandview, Washington |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainview Womens Health Center Po Box 190 Toppenish WA 98948-0190 Ph: (509) 882-4700 | Mountainview Womens Health Center 240 Division St Grandview WA 98930-1357 Ph: (509) 882-4700 |
| NPI Number | 1518093830 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20100817000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518093830 | NPI | - | NPPES |
| 33402 | Other | WA | LABOR AND INDUSTRIES |
| 7056831 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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