Swinomish Indian Tribal Community | |
17400 Reservation Rd La Conner WA 98257-8801 | |
(360) 466-3167 | |
(360) 466-5528 |
Full Name | Swinomish Indian Tribal Community |
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Speciality | Clinic/Center |
Location | 17400 Reservation Rd, La Conner, Washington |
Authorized Official Name and Position | Rhonda Nelson (CLINICAL APPLICATIONS COORDINATOR) |
Authorized Official Contact | 3604663167 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Swinomish Indian Tribal Community Po Box 683 La Conner WA 98257-0683 Ph: (360) 466-3167 | Swinomish Indian Tribal Community 17400 Reservation Rd La Conner WA 98257-8801 Ph: (360) 466-3167 |
NPI Number | 1164483285 |
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Provider Enumeration Date | 03/29/2006 |
Last Update Date | 10/05/2011 |
Medicare PECOS PAC ID | 3678477288 |
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Medicare Enrollment ID | O20090819000142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164483285 | NPI | - | NPPES |
7084320 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Monica Carrillo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134271364 PECOS PAC ID: 6709877129 Enrollment ID: I20040524000140 |
Provider Name | Frank E James |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730248550 PECOS PAC ID: 6800803156 Enrollment ID: I20060313000292 |
Provider Name | Danial Khan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366845257 PECOS PAC ID: 6002132289 Enrollment ID: I20150305001563 |
Provider Name | Justin Iwasaki |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467745117 PECOS PAC ID: 9436461357 Enrollment ID: I20150707002158 |
Loveblossom, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17307 Snee Oosh Rd, La Conner, WA 98257 Phone: 907-738-4507 | |
Swinomish Indian Tribal Community Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17400 Reservation Rd, La Conner, WA 98257 Phone: 360-466-3167 Fax: 360-466-5528 | |
Internal Medicine Consultants Nw Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 456 Klickitat Dr, La Conner, WA 98257 Phone: 360-466-9223 | |
La Conner Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Morris St., La Conner, WA 98257 Phone: 360-466-8842 Fax: 360-466-1418 |