| Providence Physician Services Co | |
|
500 E Webster Ave Chewelah WA 99109-9523 | |
| (509) 935-8211 | |
| Not Available |
| Full Name | Providence Physician Services Co |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 E Webster Ave, Chewelah, Washington |
| Authorized Official Name and Position | Sean M Douglas (CFO) |
| Authorized Official Contact | 5094742225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Physician Services Co 101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 Ph: () - | Providence Physician Services Co 500 E Webster Ave Chewelah WA 99109-9523 Ph: (509) 935-8211 |
| NPI Number | 1336316314 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336316314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 600503827 (Washington) | 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 | |
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 |