| Providence Health & Services Washington | |
|
100 W South Ave Chewelah WA 99109-9684 | |
| (509) 935-8111 | |
| (509) 935-0970 |
| Full Name | Providence Health & Services Washington |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 W South Ave, Chewelah, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC. REGULATORY ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services Washington Po Box 421 Liberty Lake WA 99019-0421 Ph: (509) 935-8111 | Providence Health & Services Washington 100 W South Ave Chewelah WA 99109-9684 Ph: (509) 935-8111 |
| NPI Number | 1639892672 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Medicare PECOS PAC ID | 0345139929 |
|---|---|
| Medicare Enrollment ID | O20221103000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639892672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chewelah Associated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Chewelah Associated Physicians Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Chewelah Community Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 | |
Chewelah Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 E Clay Ave Ste 219, Chewelah, WA 99109 Phone: 509-936-6822 Fax: 509-936-4885 | |
Chewelah Associated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Providence Physician Services Co Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Webster Ave, Chewelah, WA 99109 Phone: 509-935-8211 | |
Chewelah Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Clay Ave, Suite 219, Chewelah, WA 99109 Phone: 509-935-6822 Fax: 509-935-4885 |