| Skagit Regional Health - Granite Falls Family Medicine | |
|
405 W. Stanley Street Granite Falls WA 98252-8631 | |
| (360) 619-2419 | |
| (360) 691-0489 |
| Full Name | Skagit Regional Health - Granite Falls Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 405 W. Stanley Street, Granite Falls, Washington |
| Authorized Official Name and Position | Paul Ishizuka (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3608145838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skagit Regional Health - Granite Falls Family Medicine 1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 Ph: (360) 428-2500 | Skagit Regional Health - Granite Falls Family Medicine 405 W. Stanley Street Granite Falls WA 98252-8631 Ph: (360) 619-2419 |
| NPI Number | 1033164470 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033164470 | NPI | - | NPPES |
| 2058859 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Granite Falls Medical Clinic 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 |