| |
118 S 2nd St Suite B Selah WA 98942-1308 | |
(509) 698-3571 | |
(509) 698-3572 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 118 S 2nd St, Selah, Washington |
Authorized Official Name and Position | Deborah Eells (DIRECTOR OF FINANCE) |
Authorized Official Contact | 5099665542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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118 S 2nd St Suite B Selah WA 98942-1308 Ph: (509) 698-3571 | 118 S 2nd St Suite B Selah WA 98942-1308 Ph: (509) 698-3571 |
NPI Number | 1700815966 |
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Provider Enumeration Date | 07/01/2006 |
Last Update Date | 06/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700815966 | NPI | - | NPPES |
7056898 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Frederick J Thysell Md Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1416 Jesica Dr, Selah, WA 98942 Phone: 509-823-3861 Fax: 509-697-3819 | |