| New Health Chewelah Medical | |
|
518 E Clay Ave Chewelah WA 99109-8947 | |
| (509) 935-8424 | |
| (509) 935-8402 |
| Full Name | New Health Chewelah Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 518 E Clay Ave, Chewelah, Washington |
| Authorized Official Name and Position | Donna Poe (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5099356001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Health Chewelah Medical Po Box 808 Chewelah WA 99109-0808 Ph: (509) 935-6001 | New Health Chewelah Medical 518 E Clay Ave Chewelah WA 99109-8947 Ph: (509) 935-8424 |
| NPI Number | 1679537575 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 1951202373 |
|---|---|
| Medicare Enrollment ID | O20040119000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679537575 | NPI | - | NPPES |
| 7069982 | Medicaid | WA | |
| 80300 | Other | WA | LABOR AND INDUSTRIES ID |
| 7034093 | Medicaid | WA | |
| CE9078 | Other | WA | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | J600317870 (Washington) | Primary |
| Provider Name | Robby C Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942293055 PECOS PAC ID: 9931141256 Enrollment ID: I20050526000666 |
| Provider Name | Maja Nmi Zugec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477654416 PECOS PAC ID: 8426959743 Enrollment ID: I20050906001080 |
| Provider Name | Shirley G Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659479723 PECOS PAC ID: 3779677984 Enrollment ID: I20070919000398 |
| Provider Name | Alexis Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225659949 PECOS PAC ID: 9335551134 Enrollment ID: I20201221001127 |
| Provider Name | Gabriela Jean Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144964206 PECOS PAC ID: 2163802828 Enrollment ID: I20220712001922 |
| Provider Name | Stephanie Dawn Doud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861128852 PECOS PAC ID: 2163899360 Enrollment ID: I20221101000617 |
| Provider Name | Katie Lynn Parkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407565716 PECOS PAC ID: 5193194041 Enrollment ID: I20221215000944 |
| Provider Name | Jeanette R Spreadborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205559291 PECOS PAC ID: 1052781986 Enrollment ID: I20230110001351 |
| Provider Name | Sarah Anastasia Lay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558309070 PECOS PAC ID: 2365508728 Enrollment ID: I20230303001133 |
| Provider Name | Chelsea Ann Matz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396223855 PECOS PAC ID: 2860842630 Enrollment ID: I20231220002714 |
| Provider Name | Lisa Mary Malakowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780459784 PECOS PAC ID: 3476996869 Enrollment ID: I20240213003384 |
| Provider Name | Shannon Marie Dripps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417597360 PECOS PAC ID: 6305287442 Enrollment ID: I20240507003531 |
| Provider Name | Kathryn E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255703559 PECOS PAC ID: 6406159151 Enrollment ID: I20240610003168 |
Chewelah Associated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Chewelah Associated Physicians Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Chewelah Community Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 | |
Chewelah Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 E Clay Ave Ste 219, Chewelah, WA 99109 Phone: 509-936-6822 Fax: 509-936-4885 | |
Chewelah Associated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Providence Physician Services Co Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Webster Ave, Chewelah, WA 99109 Phone: 509-935-8211 | |
Chewelah Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Clay Ave, Suite 219, Chewelah, WA 99109 Phone: 509-935-6822 Fax: 509-935-4885 |