| Redmond Urgent Care Evergreen Medical Group | |
|
8301 161st Ave Ne Suite 105 Redmond WA 98052-3858 | |
| (425) 883-3333 | |
| (425) 869-4854 |
| Full Name | Redmond Urgent Care Evergreen Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8301 161st Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Robert Malte (CEO) |
| Authorized Official Contact | 4258992610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmond Urgent Care Evergreen Medical Group Po Box 34036 Seattle WA 98124-1036 Ph: (425) 899-3292 | Redmond Urgent Care Evergreen Medical Group 8301 161st Ave Ne Suite 105 Redmond WA 98052-3858 Ph: (425) 883-3333 |
| NPI Number | 1013014786 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013014786 | NPI | - | NPPES |
| CG2833 | Other | WA | MEDICARE RAILROAD |
| 7073968 | Medicaid | WA | |
| CG8137 | Other | WA | MEDICARE RAILROAD |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| CJ9678 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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