Pmg Sw Wa | |
1010 S Scheuber Rd Centralia WA 98531-8892 | |
(360) 827-7966 | |
Not Available |
Full Name | Pmg Sw Wa |
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Speciality | Clinic/Center |
Location | 1010 S Scheuber Rd, Centralia, Washington |
Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLL DIR REIM STRAT) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pmg Sw Wa 1010 S Scheuber Rd Centralia WA 98531-8892 Ph: (360) 827-7966 | Pmg Sw Wa 1010 S Scheuber Rd Centralia WA 98531-8892 Ph: (360) 827-7966 |
NPI Number | 1225763949 |
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Provider Enumeration Date | 07/18/2022 |
Last Update Date | 07/28/2022 |
Medicare PECOS PAC ID | 6709782600 |
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Medicare Enrollment ID | O20220830002329 |
Identifier | Type | State | Issuer |
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1225763949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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