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1300 Ne Goldie St Oak Harbor WA 98277-4832 | |
(360) 679-5590 | |
(360) 240-4029 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1300 Ne Goldie St, Oak Harbor, Washington |
Authorized Official Name and Position | Garth A Miller (COO) |
Authorized Official Contact | 3606787656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 24789 Seattle WA 98124-0789 Ph: (360) 678-7656 | 1300 Ne Goldie St Oak Harbor WA 98277-4832 Ph: (360) 679-5590 |
NPI Number | 1467497636 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 07/20/2023 |
Medicare PECOS PAC ID | 1658280680 |
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Medicare Enrollment ID | O20030417000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467497636 | NPI | - | NPPES |
7105422 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 000092 (Washington) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Whidbey Island Public Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr, Suite B101, Oak Harbor, WA 98277 Phone: 360-679-4121 Fax: 360-675-3091 | |
New Beginnings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 682 Sw Fairhaven Dr, Oak Harbor, WA 98277 Phone: 036-094-1145 | |