Providence Physician Group | |
12800 Bothell Everett Hwy Suite 160 Everett WA 98208-6644 | |
(425) 316-5180 | |
(425) 316-5181 |
Full Name | Providence Physician Group |
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Speciality | Family Medicine |
Location | 12800 Bothell Everett Hwy, Everett, Washington |
Authorized Official Name and Position | Barbara Schumacher (PRO FEE CREDENTIALING MANAGER) |
Authorized Official Contact | 4253165180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Physician Group 909 N Broadway Pbo/credentialing Everett WA 98201-1409 Ph: (425) 317-0246 | Providence Physician Group 12800 Bothell Everett Hwy Suite 160 Everett WA 98208-6644 Ph: (425) 316-5180 |
NPI Number | 1093896854 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
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1093896854 | NPI | - | NPPES |
7095367 | Medicaid | WA |
Community Health Center Of Snohomish County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Casino Rd, Everett, WA 98203 Phone: 425-789-3700 | |
Kidney And Arthritis Clinic P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3218 Nassau St, Everett, WA 98201 Phone: 425-259-9225 Fax: 425-339-3381 |