Tekoa Medical Clinic | |
North 115 Crosby Street Tekoa WA 99033-0629 | |
(509) 284-2423 | |
Not Available |
Full Name | Tekoa Medical Clinic |
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Speciality | Family Medicine |
Location | North 115 Crosby Street, Tekoa, Washington |
Authorized Official Name and Position | Robin Ann Harp (OFFICE MANAGER) |
Authorized Official Contact | 5092842423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tekoa Medical Clinic Po Box 629 N 115 Crosby Tekoa WA 99033-0629 Ph: (509) 284-2423 | Tekoa Medical Clinic North 115 Crosby Street Tekoa WA 99033-0629 Ph: (509) 284-2423 |
NPI Number | 1285766469 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 10/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285766469 | NPI | - | NPPES |
7069875 | Medicaid | WA | |
7075971 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 601652856 (Washington) | Primary |
Tekoa Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N. 115 Crosby St., Tekoa, WA 99033 Phone: 509-284-2423 Fax: 509-284-3434 |