| Valley General Hospital Sky River Internal Medicine Clinic | |
|
14701 179th Ave Se Monroe WA 98272-1108 | |
| (360) 794-7497 | |
| Not Available |
| Full Name | Valley General Hospital Sky River Internal Medicine Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 14701 179th Ave Se, Monroe, Washington |
| Authorized Official Name and Position | Mark Judy (CEO) |
| Authorized Official Contact | 3607941447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley General Hospital Sky River Internal Medicine Clinic 14701 179th Ave Se Monroe WA 98272-1108 Ph: (360) 794-7497 | Valley General Hospital Sky River Internal Medicine Clinic 14701 179th Ave Se Monroe WA 98272-1108 Ph: (360) 794-7497 |
| NPI Number | 1801960034 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801960034 | NPI | - | NPPES |
| 7034564 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 315001168 (Washington) | Primary |
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