Providence Physician Group | |
1830 Bickford Ave Suite 211 Snohomish WA 98290-1749 | |
(360) 568-1502 | |
(360) 568-1516 |
Full Name | Providence Physician Group |
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Speciality | Family Medicine |
Location | 1830 Bickford Ave, Snohomish, Washington |
Authorized Official Name and Position | Barbara Schumacher (PRO FEE CREDENTIALING MANAGER) |
Authorized Official Contact | 3605681502 |
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 1830 Bickford Ave Suite 211 Snohomish WA 98290-1749 Ph: (360) 568-1502 |
NPI Number | 1225068265 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225068265 | NPI | - | NPPES |
7095326 | Medicaid | WA |
At Your Home Primary Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3922 113th Ave Se, Snohomish, WA 98290 Phone: 425-299-2170 | |
Snohomish Midwives Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Cedar Ave, Snohomish, WA 98290 Phone: 360-453-7872 Fax: 360-525-1025 | |