Providence Physician Group | |
1330 Rockefeller Ave Suite 210 Everett WA 98201-1684 | |
(425) 261-4940 | |
(425) 261-4945 |
Full Name | Providence Physician Group |
---|---|
Speciality | Internal Medicine |
Location | 1330 Rockefeller Ave, Everett, Washington |
Authorized Official Name and Position | Barbara Schumacher (PRO FEE CREDENTIALING MANAGER) |
Authorized Official Contact | 4252614940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Providence Physician Group 909 N Broadway Pbo/credentialing Everett WA 98201-1409 Ph: (425) 317-0246 | Providence Physician Group 1330 Rockefeller Ave Suite 210 Everett WA 98201-1684 Ph: (425) 261-4940 |
NPI Number | 1609800861 |
---|---|
Provider Enumeration Date | 07/11/2006 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609800861 | NPI | - | NPPES |
7095417 | 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 |