Odessa Rural Health Clinic | |
510 E Amende Odessa WA 99159 | |
(509) 982-2611 | |
(509) 982-2159 |
Full Name | Odessa Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 510 E Amende, Odessa, Washington |
Authorized Official Name and Position | John Serle (CEO) |
Authorized Official Contact | 5099822611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Odessa Rural Health Clinic Po Box 190 Odessa WA 99159-0190 Ph: (509) 982-2611 | Odessa Rural Health Clinic 510 E Amende Odessa WA 99159 Ph: (509) 982-2611 |
NPI Number | 1023122520 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 04/20/2021 |
Medicare PECOS PAC ID | 1052209152 |
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Medicare Enrollment ID | O20041221000415 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023122520 | NPI | - | NPPES |
7105539 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Odessa Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 E. Amende, Odessa, WA 99159 Phone: 509-982-2611 Fax: 509-982-2675 |