| Providence Medical Group | |
|
101 Nw 12th Ave Suite 107 Battle Ground WA 98604-9141 | |
| (360) 666-4480 | |
| (360) 666-4485 |
| Full Name | Providence Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Nw 12th Ave, Battle Ground, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY ENROLLMENTS) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence Medical Group 101 Nw 12th Ave Suite 107 Battle Ground WA 98604-9141 Ph: (360) 666-4480 |
| NPI Number | 1194013144 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194013144 | NPI | - | NPPES |
| 500639583 | Medicaid | OR |
Rose Urgent Care And Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 Nw 20th Ave Ste 101, Battle Ground, WA 98604 Phone: 360-952-4457 Fax: 360-828-7409 | |
Go Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Parkway Ave Ste 102, Battle Ground, WA 98604 Phone: 360-666-6001 | |
Tammy Richert, Lmp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 W Main St Ste 218, Battle Ground, WA 98604 Phone: 360-903-8742 | |
Vital Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Nw 12th Ave Ste 107, Battle Ground, WA 98604 Phone: 360-723-0528 | |
Direct Care Clinics Us Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E Main St Ste 121, Battle Ground, WA 98604 Phone: 360-999-5138 | |
Mountain View Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Nw 12th Ave, Ste 107, Battle Ground, WA 98604 Phone: 360-666-8418 Fax: 360-666-8599 |