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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mattawa, Washington. The current practice location for is 601 Government Way, Mattawa, Washington. For appointments, you can reach them via phone at (509) 932-3535. The mailing address for is 1515 E Columbia St, Othello, Washington and phone number is (509) 488-5256.

is licensed to practice in Washington (license number ). The clinic also participates in the medicare program and its NPI number is 1053539890. 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) 932-3535.

Contact Information


	601 Government Way Mattawa WA 99349
	(509) 932-3535
	(509) 488-9939

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	601 Government Way, Mattawa, Washington
Authorized Official Name and Position	Joshua Bunch (CFO)
Authorized Official Contact	5094885250
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1515 E Columbia St Othello WA 99344-1846 Ph: (509) 488-5256	601 Government Way Mattawa WA 99349 Ph: (509) 932-3535

NPI Details:

NPI Number	1053539890
Provider Enumeration Date	04/24/2007
Last Update Date	07/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4486564309
Medicare Enrollment ID	O20040427000342

Medical Identifiers

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

Identifier	Type	State	Issuer
1053539890	NPI	-	NPPES
50D9963406	Other	WA	CLIA #
8908941	Other	WA	CRIME VICTIMS #
7107675	Other	WA	UGS MDC DSHS CROSSOVER
7900624	Other	WA	TAKE CHARGE #
0135012	Other	WA	DEPT OF L&I
7096555	Medicaid	WA
7407927	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Washington)	Primary

Reviews and Comments

Clinic/Center in Mattawa, WA

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 Government Rd, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S William Ave, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Government Road, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Government Way, Mattawa, WA 99349 Phone: 509-488-5256 Fax: 509-488-9939

- Medicare Primary Care in Mattawa, WA