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811 S Auburn St Kennewick WA 99336-5661 | |
(509) 866-4145 | |
(509) 866-4146 |
Full Name | |
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Speciality | Clinic/Center |
Location | 811 S Auburn St, Kennewick, Washington |
Authorized Official Name and Position | Jennifer Cardel Balde (OWNER) |
Authorized Official Contact | 5098664145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2928 Pasco WA 99302-2928 Ph: (646) 202-0278 | 811 S Auburn St Kennewick WA 99336-5661 Ph: (509) 866-4145 |
NPI Number | 1346814423 |
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Provider Enumeration Date | 05/13/2021 |
Last Update Date | 08/04/2021 |
Medicare PECOS PAC ID | 2365845401 |
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Medicare Enrollment ID | O20210727000903 |
Identifier | Type | State | Issuer |
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1346814423 | NPI | - | NPPES |
604-732-714 | Other | WA | UBIN |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jennifer C Balde |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407170715 PECOS PAC ID: 0749450104 Enrollment ID: I20110823000658 |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 | |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 | |
H Matt Smith Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W 1st Ave, Kennewick, WA 99336 Phone: 509-585-5500 Fax: 509-585-4161 |