| Summit Pacific Healthcare Clinic | |
|
600 E. Main Street Elma WA 98541 | |
| (360) 495-3244 | |
| Not Available |
| Full Name | Summit Pacific Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 E. Main Street, Elma, Washington |
| Authorized Official Name and Position | Renee K Jensen (CEO) |
| Authorized Official Contact | 3604953244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Pacific Healthcare Clinic 600 E. Main Street Elma WA 98541 Ph: () - | Summit Pacific Healthcare Clinic 600 E. Main Street Elma WA 98541 Ph: (360) 495-3244 |
| NPI Number | 1942554183 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 11/04/2013 |
| Medicare PECOS PAC ID | 9032017256 |
|---|---|
| Medicare Enrollment ID | O20130215000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942554183 | NPI | - | NPPES |
| 7103815 | Medicaid | WA | |
| AB18052 | Other | WA | GROUP MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HAC.FS.00000186 (Washington) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | HAC.FS.00000186 (Washington) | Primary |
Summit Pacific Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 Fax: 360-346-2157 | |
The Clinic At Elma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W. Main St., Elma, WA 98541 Phone: 360-956-6354 Fax: 360-482-5157 | |
Summit Pacific Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 579 E Main St, Bldg 2, Elma, WA 98541 Phone: 360-346-2222 Fax: 360-346-2192 | |
Mark Reed Healthcare Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E. Main Street, Elma, WA 98541 Phone: 360-495-3500 Fax: 360-495-4423 | |
Pacific Medical Specialty Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1117 W Young St, Elma, WA 98541 Phone: 503-805-8865 | |
Olympic Valley Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 Schouweiler Rd, Elma, WA 98541 Phone: 360-482-5300 Fax: 360-482-5900 | |
Summit Pacific Wellness Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 E Main Street, Elma, WA 98541 Phone: 360-346-2222 Fax: 360-346-2163 |