Pope's Kids Place | |
230 Washington Way Centralia WA 98531-9325 | |
(360) 736-9147 | |
Not Available |
Full Name | Pope's Kids Place |
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Speciality | Clinic/center - Rural Health |
Location | 230 Washington Way, Centralia, Washington |
Authorized Official Name and Position | Isaac Pope (MEDICAL DIRECTOR) |
Authorized Official Contact | 3607369147 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pope's Kids Place 230 Washington Way Centralia WA 98531-9325 Ph: (360) 736-9147 | Pope's Kids Place 230 Washington Way Centralia WA 98531-9325 Ph: (360) 736-9147 |
NPI Number | 1801199575 |
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Provider Enumeration Date | 12/17/2010 |
Last Update Date | 12/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801199575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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