| New Health Selkirk Medical | |
|
208 Cedar Creek Terrace Ione WA 99139 | |
| (509) 442-3514 | |
| (509) 442-3436 |
| Full Name | New Health Selkirk Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 Cedar Creek Terrace, Ione, 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 Selkirk Medical Po Box 808 Chewelah WA 99109-0808 Ph: (509) 935-6001 | New Health Selkirk Medical 208 Cedar Creek Terrace Ione WA 99139 Ph: (509) 442-3514 |
| NPI Number | 1912961822 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 1951202373 |
|---|---|
| Medicare Enrollment ID | O20120315000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912961822 | NPI | - | NPPES |
| 7064678 | Medicaid | WA | |
| 703440 | Medicaid | WA | |
| CE9078 | Other | WA | RR MEDICARE PIN |
| 80300 | Other | WA | LABOR AND INDUSTRIES ID |
| 7067960 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | J600317870 (Washington) | Primary |