| Providence Centralia Hospital - Pediatric After Hours Clinic | |
|
914 S Scheuber Rd Centralia WA 98531-9027 | |
| (360) 736-2803 | |
| (360) 330-8642 |
| Full Name | Providence Centralia Hospital - Pediatric After Hours Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 914 S Scheuber Rd, Centralia, Washington |
| Authorized Official Name and Position | Nicole Quinn (PAYOR CREDENTIALING MANAGER) |
| Authorized Official Contact | 4255256715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Centralia Hospital - Pediatric After Hours Clinic Po Box 34439 Seattle WA 98124-1439 Ph: (425) 525-6778 | Providence Centralia Hospital - Pediatric After Hours Clinic 914 S Scheuber Rd Centralia WA 98531-9027 Ph: (360) 736-2803 |
| NPI Number | 1689873937 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 12/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689873937 | NPI | - | NPPES |
| 7036759 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000057 (Washington) | Primary |
Rejuventa Medical Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1755 Kresky Ave., Centralia, WA 98531 Phone: 360-669-0098 Fax: 360-669-0121 | |
Washington Park Medical Center, Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Centralia College Blvd, Centralia, WA 98531 Phone: 360-736-0771 Fax: 360-736-4867 | |
Dr. Thomas Cooke Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 Mellen St, Centralia, WA 98531 Phone: 360-736-4021 Fax: 360-736-3541 | |
Lewis County Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Harrison Ave, Centralia, WA 98531 Phone: 360-736-5405 Fax: 360-736-5620 | |
Pmg Sw Wa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-7966 | |
Cascade Family Medical Clinic Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-7623 Fax: 360-736-4074 | |
Valley View Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Way, Centralia, WA 98531 Phone: 360-388-3259 Fax: 360-807-4933 |