| United Wound Healing Accountable Care Consultants Pllc | |
|
413 29th St Ne Ste I Puyallup WA 98372-7154 | |
| (855) 255-1750 | |
| (855) 255-0905 |
| Full Name | United Wound Healing Accountable Care Consultants Pllc |
|---|---|
| Speciality | Surgery |
| Location | 413 29th St Ne Ste I, Puyallup, Washington |
| Authorized Official Name and Position | Ryan Dirks (CEO) |
| Authorized Official Contact | 8552551750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Wound Healing Accountable Care Consultants Pllc 413 29th St Ne Ste I Puyallup WA 98372-7154 Ph: (855) 255-1750 | United Wound Healing Accountable Care Consultants Pllc 413 29th St Ne Ste I Puyallup WA 98372-7154 Ph: (855) 255-1750 |
| NPI Number | 1881337632 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 5395124408 |
|---|---|
| Medicare Enrollment ID | O20220621001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881337632 | NPI | - | NPPES |
| Provider Name | Carmen Kimberly Hudson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477649036 PECOS PAC ID: 4688757511 Enrollment ID: I20190521001205 |
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