| Sunnyside Family Medicine, Pc | |
|
2240 E Lincoln Ave Sunnyside WA 98944-2487 | |
| (509) 837-6681 | |
| (509) 839-0075 |
| Full Name | Sunnyside Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2240 E Lincoln Ave, Sunnyside, Washington |
| Authorized Official Name and Position | Olga Medelez (RECEPTION/BILLING) |
| Authorized Official Contact | 5098376681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Family Medicine, Pc 2240 E Lincoln Ave Sunnyside WA 98944-2487 Ph: (509) 837-6681 | Sunnyside Family Medicine, Pc 2240 E Lincoln Ave Sunnyside WA 98944-2487 Ph: (509) 837-6681 |
| NPI Number | 1780717207 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780717207 | NPI | - | NPPES |
| 8935331 | Other | WA | CRIME VICTIMS NUMBER |
| 0146394 | Other | WA | L&I NUMBER |
| 9616897 | Medicaid | WA | |
| 0052792 | Other | WA | L&I NUMBER |
| 1057496 | Medicaid | WA | |
| 7081540 | Medicaid | WA | |
| 8264582 | Medicaid | WA | |
| 0146393 | Other | WA | L&I NUMBER |
| 112305 | Other | WA | L&I GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001175 (Washington) | Primary |
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