- Primary Care in Granite Falls, WA

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is a primary clinic (Clinic/center - Primary Care) in Granite Falls, Washington. The current practice location for is 405 W. Stanley Street, Granite Falls, Washington. For appointments, you can reach them via phone at (360) 619-2419. The mailing address for is 1400 E. Kincaid Street, Attn: Credentialing, Mount Vernon, Washington and phone number is (360) 428-2500.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1033164470. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (360) 619-2419.

Contact Information

405 W. Stanley Street
Granite Falls
WA 98252-8631
(360) 619-2419
(360) 691-0489

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/center - Primary Care
Location405 W. Stanley Street, Granite Falls, Washington
Authorized Official Name and PositionPaul Ishizuka (CHIEF FINANCIAL OFFICER)
Authorized Official Contact3608145838
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1400 E. Kincaid Street
Attn: Credentialing
Mount Vernon
WA 98274-4127

Ph: (360) 428-2500
405 W. Stanley Street
Granite Falls
WA 98252-8631

Ph: (360) 619-2419

NPI Details:

NPI Number1033164470
Provider Enumeration Date05/24/2006
Last Update Date09/24/2021

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033164470NPI-NPPES
2058859MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Granite Falls, WA


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 403 South Granite Ave, Granite Falls, WA 98252
Phone: 360-691-7711    Fax: 360-691-7864

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.