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117 So Chelan St Waterville WA 98858 | |
(509) 745-8448 | |
(509) 745-8448 |
Full Name | |
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Speciality | Ambulance |
Location | 117 So Chelan St, Waterville, Washington |
Authorized Official Name and Position | Elonna D Rejniak (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 5097458448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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117 So Chelan St Waterville WA 98858 Ph: (509) 745-8448 | 117 So Chelan St Waterville WA 98858 Ph: (509) 745-8448 |
NPI Number | 1063682342 |
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Provider Enumeration Date | 03/03/2008 |
Last Update Date | 12/14/2011 |
Medicare PECOS PAC ID | 1759279839 |
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Medicare Enrollment ID | O20081103000575 |
Identifier | Type | State | Issuer |
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1063682342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Washington) | Secondary |
3416L0300X | Ambulance - Land Transport | (* (Not Available)) | Primary |