| Samaritan Clinic On Patton | |
|
8420 Aspi Blvd Moses Lake WA 98837-1820 | |
| (509) 793-9781 | |
| (509) 764-3244 |
| Full Name | Samaritan Clinic On Patton |
|---|---|
| Speciality | Clinic/Center |
| Location | 8420 Aspi Blvd, Moses Lake, Washington |
| Authorized Official Name and Position | Theresa Sullivan (CFO SAMARITAN HOSPITAL) |
| Authorized Official Contact | 5097939700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Clinic On Patton 660 S Coolidge St Moses Lake WA 98837-1872 Ph: (509) 793-9634 | Samaritan Clinic On Patton 8420 Aspi Blvd Moses Lake WA 98837-1820 Ph: (509) 793-9781 |
| NPI Number | 1609112739 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/28/2020 |
| Medicare PECOS PAC ID | 9931095692 |
|---|---|
| Medicare Enrollment ID | O20190926001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609112739 | NPI | - | NPPES |
| 2028741 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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