Primary Care Redmond, Pllc | |
8301 161st Ave Ne Suite 100 Redmond WA 98052-3858 | |
(425) 895-8600 | |
Not Available |
Full Name | Primary Care Redmond, Pllc |
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Speciality | Clinic/center - Primary Care |
Location | 8301 161st Ave Ne, Redmond, Washington |
Authorized Official Name and Position | Linda Ann Van Hoff (OWNER) |
Authorized Official Contact | 4258958600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Care Redmond, Pllc 8301 161st Ave Ne Suite 100 Redmond WA 98052-3858 Ph: (425) 895-8600 | Primary Care Redmond, Pllc 8301 161st Ave Ne Suite 100 Redmond WA 98052-3858 Ph: (425) 895-8600 |
NPI Number | 1154699924 |
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Provider Enumeration Date | 12/08/2011 |
Last Update Date | 12/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154699924 | NPI | - | NPPES |
1497737316 | Other | INDIVIDUAL NPI | |
1588676001 | Other | INDIVIDUAL NPI | |
AB17259 | Other | WA | WA MEDICARE NUMBER |
8850455 | Other | WA | WA MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | AP30004449 (Washington) | Primary |
261QP2300X | Clinic/center - Primary Care | AP30001935 (Washington) | Secondary |
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