<unavail> in Prosser, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Prosser, Washington. The current practice location for is 820 Memorial St, Suite 1, Prosser, Washington. For appointments, you can reach them via phone at (509) 786-1931. The mailing address for is Po Box 190, Toppenish, Washington and phone number is (509) 786-1931.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891821013. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (509) 786-1931.

Contact Information


	820 Memorial St Suite 1 Prosser WA 99350-1526
	(509) 786-1931
	(509) 786-1997

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	820 Memorial St, Prosser, Washington
Authorized Official Name and Position	Shannon Fernandez (BILLING VP)
Authorized Official Contact	5098656175
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 190 Toppenish WA 98948-0190 Ph: (509) 786-1931	820 Memorial St Suite 1 Prosser WA 99350-1526 Ph: (509) 786-1931

NPI Details:

NPI Number	1891821013
Provider Enumeration Date	02/23/2007
Last Update Date	01/19/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4385541986
Medicare Enrollment ID	O20100816000948

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891821013	NPI	-	NPPES
41000	Other	WA	LABOR AND INDUSTRIES
7106131	Medicaid	WA
YA0023	Other	WA	REGENCE BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Prosser, WA

Prosser Public Hospital District Of Benton County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Memorial St, Prosser, WA 99350 Phone: 509-786-2222
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Chardonnay Ave Ste A, Prosser, WA 99350 Phone: 509-786-2002 Fax: 509-786-2026
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 Chardonnay Ave Ste A, Prosser, WA 99350 Phone: 509-786-1576 Fax: 509-786-1574
Martin Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Scenic Dr, Prosser, WA 99350 Phone: 509-303-9570
Prosser Public Hospital District Of Benton County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Memorial St Ste 3, Prosser, WA 99350 Phone: 509-786-2222
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 Chardonnay Ave, Prosser, WA 99350 Phone: 509-781-6366 Fax: 509-781-6367

- Medicare Primary Care in Prosser, WA