Rose Urgent Care And Family Practice | |
18 Nw 20th Ave Ste 101 Battle Ground WA 98604-4175 | |
(360) 952-4457 | |
(360) 828-7409 |
Full Name | Rose Urgent Care And Family Practice |
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Speciality | Clinic/Center |
Location | 18 Nw 20th Ave Ste 101, Battle Ground, Washington |
Authorized Official Name and Position | Bianca Alvarez (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5039524457 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rose Urgent Care And Family Practice 18 Nw 20th Ave Ste 101 Battle Ground WA 98604-4226 Ph: (360) 952-4457 | Rose Urgent Care And Family Practice 18 Nw 20th Ave Ste 101 Battle Ground WA 98604-4175 Ph: (360) 952-4457 |
NPI Number | 1063818573 |
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Provider Enumeration Date | 11/11/2014 |
Last Update Date | 06/25/2024 |
Medicare PECOS PAC ID | 9335430677 |
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Medicare Enrollment ID | O20160616002556 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063818573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (Washington) | Secondary |
Provider Name | Donald J Benz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689669475 PECOS PAC ID: 9032104294 Enrollment ID: I20040419000265 |
Provider Name | Brenda D Roberts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346466323 PECOS PAC ID: 4587713888 Enrollment ID: I20090515000322 |
Provider Name | Matthew Rose |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013144740 PECOS PAC ID: 8820282098 Enrollment ID: I20160616002588 |
Provider Name | Shushaun B Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891101671 PECOS PAC ID: 6608096433 Enrollment ID: I20180130001541 |
Provider Name | Roger Enrique Cutino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215406640 PECOS PAC ID: 7315271582 Enrollment ID: I20190702002358 |
Provider Name | Louis I Peng |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831121615 PECOS PAC ID: 1254434954 Enrollment ID: I20200108000850 |
Provider Name | Kindra Scanlon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154619260 PECOS PAC ID: 7719121193 Enrollment ID: I20220726001068 |
Provider Name | Betsy Rae Foje |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629414487 PECOS PAC ID: 5799909107 Enrollment ID: I20240411004307 |
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Tammy Richert, Lmp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 W Main St Ste 218, Battle Ground, WA 98604 Phone: 360-903-8742 | |
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