Napavine Medical Clinic | |
305 Linhart Ave Ne Napavine WA 98565 | |
(360) 262-3990 | |
(360) 262-0873 |
Full Name | Napavine Medical Clinic |
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Speciality | Clinic/center - Multi-specialty |
Location | 305 Linhart Ave Ne, Napavine, Washington |
Authorized Official Name and Position | Christopher L Bredeson (CEO) |
Authorized Official Contact | 3607404001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Napavine Medical Clinic Po Box 147 Napavine WA 98565-0147 Ph: (360) 262-3990 | Napavine Medical Clinic 305 Linhart Ave Ne Napavine WA 98565 Ph: (360) 262-3990 |
NPI Number | 1083876130 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 05/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083876130 | NPI | - | NPPES |
7074131 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |