| Randle Clinic | |
|
108 Kindle Road Randle WA 98377 | |
| (360) 497-3333 | |
| (360) 497-5073 |
| Full Name | Randle Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 108 Kindle Road, Randle, Washington |
| Authorized Official Name and Position | Richard Boggess (CFO) |
| Authorized Official Contact | 3604963647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randle Clinic Po Box 1138 Morton WA 98356-0019 Ph: (360) 496-3504 | Randle Clinic 108 Kindle Road Randle WA 98377 Ph: (360) 497-3333 |
| NPI Number | 1427083815 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427083815 | NPI | - | NPPES |
| 7047129 | Medicaid | WA | |
| 0101851 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Arbor Health Randle Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Kindle Road, Randle, WA 98377 Phone: 360-497-3333 Fax: 360-497-5073 |