| Super Track Urgent Care Llc | |
|
1050 Lakeway Dr Bellingham WA 98229-2020 | |
| (360) 671-7100 | |
| Not Available |
| Full Name | Super Track Urgent Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 Lakeway Dr, Bellingham, Washington |
| Authorized Official Name and Position | Mahnaz Lary (OWNER) |
| Authorized Official Contact | 3606717100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Track Urgent Care Llc 1050 Lakeway Dr Bellingham WA 98229-2020 Ph: () - | Super Track Urgent Care Llc 1050 Lakeway Dr Bellingham WA 98229-2020 Ph: (360) 671-7100 |
| NPI Number | 1598289027 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 11/14/2017 |
| Medicare PECOS PAC ID | 7618243296 |
|---|---|
| Medicare Enrollment ID | O20171026000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598289027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Virginia Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003864877 PECOS PAC ID: 2163431693 Enrollment ID: I20060503000435 |
| Provider Name | Kelly L Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700887338 PECOS PAC ID: 2860480878 Enrollment ID: I20100703000013 |
| Provider Name | Shahriar Bozorgzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194726851 PECOS PAC ID: 1951399963 Enrollment ID: I20101028000953 |
| Provider Name | Mahnaz Lary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285732289 PECOS PAC ID: 8921136086 Enrollment ID: I20121113000057 |
| Provider Name | Timothy Manzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184851305 PECOS PAC ID: 8820228547 Enrollment ID: I20140306001101 |
| Provider Name | Leanne Mika Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609387588 PECOS PAC ID: 5799043246 Enrollment ID: I20171211002582 |
| Provider Name | Coralie Sophie Meslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124516455 PECOS PAC ID: 0840533741 Enrollment ID: I20190516001062 |
| Provider Name | Julia Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508254962 PECOS PAC ID: 2567786577 Enrollment ID: I20211007002805 |
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