Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 721 S Auburn St, Kennewick, Washington |
Authorized Official Name and Position | Kristy Needham (CEO) |
Authorized Official Contact | 5095472204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1452 Pasco WA 99301-1223 Ph: (509) 547-2204 | 721 S Auburn St Kennewick WA 99336 Ph: (509) 547-2204 |
NPI Number | 1619417516 |
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Provider Enumeration Date | 02/27/2017 |
Last Update Date | 01/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619417516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 | |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 | |
H Matt Smith Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W 1st Ave, Kennewick, WA 99336 Phone: 509-585-5500 Fax: 509-585-4161 |