Southbend Clinic | |
800 Alder Street Southbend WA 98586 | |
(360) 875-5339 | |
(360) 875-6167 |
Full Name | Southbend Clinic |
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Speciality | Family Medicine |
Location | 800 Alder Street, Southbend, Washington |
Authorized Official Name and Position | Terry Stone (CFO) |
Authorized Official Contact | 3608754508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southbend Clinic Po Box 1370 800 Alder Street Southbend WA 98586 Ph: (360) 875-5339 | Southbend Clinic 800 Alder Street Southbend WA 98586 Ph: (360) 875-5339 |
NPI Number | 1982761904 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982761904 | NPI | - | NPPES |
7102957 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |