Roger Saux Health Center | |
1505 Kla-ook-wa Drive Taholah WA 98587 | |
(360) 276-4405 | |
(360) 276-4602 |
Full Name | Roger Saux Health Center |
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Speciality | Clinic/Center |
Location | 1505 Kla-ook-wa Drive, Taholah, Washington |
Authorized Official Name and Position | Mariah Yvonne Ralston (OFFICE MANAGER) |
Authorized Official Contact | 3602764405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roger Saux Health Center Po Box 219 1505 Kla-ook-wa Dr. Taholah WA 98587 Ph: (360) 276-4405 | Roger Saux Health Center 1505 Kla-ook-wa Drive Taholah WA 98587 Ph: (360) 276-4405 |
NPI Number | 1093888547 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 05/27/2008 |
Medicare PECOS PAC ID | 0446147086 |
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Medicare Enrollment ID | O20040301000160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093888547 | NPI | - | NPPES |
7082191 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Julie M Buck |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346280484 PECOS PAC ID: 9335134519 Enrollment ID: I20040922000133 |
Provider Name | Elizabeth A Swift |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114233731 PECOS PAC ID: 6901090901 Enrollment ID: I20101103001295 |
Provider Name | Dale Austin Armstrong |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871586578 PECOS PAC ID: 0941214548 Enrollment ID: I20230628001300 |
Provider Name | Kristen A Hodsdon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821007600 PECOS PAC ID: 5294875621 Enrollment ID: I20230630002459 |
Provider Name | Julia Elizabeth Mackaronis |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497123855 PECOS PAC ID: 0749649465 Enrollment ID: I20230706002331 |