Tri-cities Chaplaincy Supportive Care | |
1480 Fowler St Richland WA 99352-4717 | |
(509) 783-7416 | |
(509) 735-7850 |
Full Name | Tri-cities Chaplaincy Supportive Care |
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Speciality | Nurse Practitioner |
Location | 1480 Fowler St, Richland, Washington |
Authorized Official Name and Position | Paul Well (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5097837416 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri-cities Chaplaincy Supportive Care 1480 Fowler St Richland WA 99352-4717 Ph: (509) 783-7416 | Tri-cities Chaplaincy Supportive Care 1480 Fowler St Richland WA 99352-4717 Ph: (509) 783-7416 |
NPI Number | 1992070346 |
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Provider Enumeration Date | 03/19/2012 |
Last Update Date | 10/09/2013 |
Medicare PECOS PAC ID | 0143217562 |
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Medicare Enrollment ID | O20040428000476 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992070346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (Washington) | Primary |
Provider Name | Wayne M Kohan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134172281 PECOS PAC ID: 3779524483 Enrollment ID: I20050512000578 |
Provider Name | Lynn Marie M Peashka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205858289 PECOS PAC ID: 9739111287 Enrollment ID: I20050906000363 |
Provider Name | Jennifer L Smith |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134344286 PECOS PAC ID: 9436244167 Enrollment ID: I20100629000477 |
Provider Name | Walter T Cooper |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528137759 PECOS PAC ID: 3072404763 Enrollment ID: I20120502000265 |
Provider Name | Charlotte Lynn Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487099792 PECOS PAC ID: 4385870658 Enrollment ID: I20150702000353 |
Provider Name | Dawn Shepherd |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124415237 PECOS PAC ID: 4587891049 Enrollment ID: I20160723000034 |
Provider Name | Karen Michelle Dubois |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124571799 PECOS PAC ID: 3577842756 Enrollment ID: I20161110001102 |
Provider Name | Kristen A Rush |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942701784 PECOS PAC ID: 6709131717 Enrollment ID: I20180615000360 |
Shriners Hospitals For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Swift Blvd Ste A, Richland, WA 99352 Phone: 509-942-2573 Fax: 509-943-5652 | |
Tri-cities Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Goethals Dr, Richland, WA 99352 Phone: 509-547-2204 Fax: 509-946-0051 | |
Richland Family Medicine Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 George Washington Way, Suite #1, Richland, WA 99352 Phone: 509-946-9664 | |
Kemunto Kakumba Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1446 Spaulding Park, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Robert L. Whitson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 Stevens Dr, Richland, WA 99352 Phone: 509-946-5233 Fax: 509-946-5326 | |
William Kalichman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Gage Blvd, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Barbara L Atwood Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 953 Stevens Dr, Suite B, Richland, WA 99352 Phone: 509-946-0802 Fax: 509-946-0104 |