| North Basin Medical Clinics | |
|
10 Nicholls St Davenport WA 99122-9729 | |
| (509) 725-7501 | |
| (509) 725-7504 |
| Full Name | North Basin Medical Clinics |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Nicholls St, Davenport, Washington |
| Authorized Official Name and Position | Tyson Lacy (CFO) |
| Authorized Official Contact | 5097252979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Basin Medical Clinics 10 Nicholls St Davenport WA 99122-9729 Ph: (509) 725-7501 | North Basin Medical Clinics 10 Nicholls St Davenport WA 99122-9729 Ph: (509) 725-7501 |
| NPI Number | 1053527853 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053527853 | NPI | - | NPPES |
| 7117450 | Medicaid | WA | |
| CJ6525 | Other | WA | MEDICARE RAILROAD |
| 7101132 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
North Basin Medical Clinics--davenport Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Nicholls St, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 | |
Lavender Luxe Massage Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 3rd St Ste 100, Davenport, WA 99122 Phone: 509-725-3333 Fax: 509-725-3334 |