Sumas Clinic, Inc. P.s. | |
112 Columbia St. Sumas WA 98295-1010 | |
(360) 988-9404 | |
(360) 988-9409 |
Full Name | Sumas Clinic, Inc. P.s. |
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Speciality | Family Medicine |
Location | 112 Columbia St., Sumas, Washington |
Authorized Official Name and Position | Rodney Lee Brian Thompson (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 3609889404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sumas Clinic, Inc. P.s. Po Box 1010 112 Columbia St. Sumas WA 98295-1010 Ph: (360) 988-9404 | Sumas Clinic, Inc. P.s. 112 Columbia St. Sumas WA 98295-1010 Ph: (360) 988-9404 |
NPI Number | 1508056052 |
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Provider Enumeration Date | 07/31/2007 |
Last Update Date | 07/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508056052 | NPI | - | NPPES |
7127285 | Medicaid | WA | |
8294498 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00039892 (Washington) | Primary |