Selah Medical Center Inc. | |
9 E 1st Ave Suite 4 Selah WA 98942-1400 | |
(509) 697-8008 | |
(509) 697-9872 |
Full Name | Selah Medical Center Inc. |
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Speciality | Clinic/Center |
Location | 9 E 1st Ave, Selah, Washington |
Authorized Official Name and Position | William T Cox (PRESIDENT) |
Authorized Official Contact | 5096978008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Selah Medical Center Inc. 9 E 1st Ave Suite 4 Selah WA 98942-1400 Ph: (509) 697-8008 | Selah Medical Center Inc. 9 E 1st Ave Suite 4 Selah WA 98942-1400 Ph: (509) 697-8008 |
NPI Number | 1902983174 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 03/04/2008 |
Medicare PECOS PAC ID | 3072610799 |
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Medicare Enrollment ID | O20070515000088 |
Identifier | Type | State | Issuer |
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1902983174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | OP00001024 (Washington) | Primary |
Provider Name | William T Cox |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184717936 PECOS PAC ID: 4486643228 Enrollment ID: I20040507000895 |
Provider Name | Tonjia L Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790985869 PECOS PAC ID: 0547215899 Enrollment ID: I20050318000729 |
Frederick J Thysell Md Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1416 Jesica Dr, Selah, WA 98942 Phone: 509-823-3861 Fax: 509-697-3819 | |