| Gig Harbor Primary Care Llc | |
|
4423 Point Fosdick Dr Nw Suite 306 Gig Harbor WA 98335-1797 | |
| (253) 432-4437 | |
| (866) 336-4138 |
| Full Name | Gig Harbor Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4423 Point Fosdick Dr Nw, Gig Harbor, Washington |
| Authorized Official Name and Position | Jessica Hopkins (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 2534324437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gig Harbor Primary Care Llc 4423 Point Fosdick Dr Nw Suite 306 Gig Harbor WA 98335-1797 Ph: (253) 432-4437 | Gig Harbor Primary Care Llc 4423 Point Fosdick Dr Nw Suite 306 Gig Harbor WA 98335-1797 Ph: (253) 432-4437 |
| NPI Number | 1447607478 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 01/21/2022 |
| Medicare PECOS PAC ID | 1951670629 |
|---|---|
| Medicare Enrollment ID | O20170712001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447607478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Scot D Fleshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295163483 PECOS PAC ID: 0840514485 Enrollment ID: I20150528000317 |
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