White River Family Care Llc | |
305 N.river Ave. Buckley WA 98321 | |
(360) 829-0625 | |
(360) 829-9860 |
Full Name | White River Family Care Llc |
---|---|
Speciality | Family Medicine |
Location | 305 N.river Ave., Buckley, Washington |
Authorized Official Name and Position | Cindy Jane Kruizenga (OFFICE MANAGER) |
Authorized Official Contact | 3608290625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
White River Family Care Llc Po Box 1268 Buckley WA 98321 Ph: (360) 829-0625 | White River Family Care Llc 305 N.river Ave. Buckley WA 98321 Ph: (360) 829-0625 |
NPI Number | 1649394800 |
---|---|
Provider Enumeration Date | 03/16/2007 |
Last Update Date | 10/04/2018 |
Medicare PECOS PAC ID | 1254323447 |
---|---|
Medicare Enrollment ID | O20040330001213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649394800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michael A Welsh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235122763 PECOS PAC ID: 7214929405 Enrollment ID: I20100430000463 |
Hope Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Main St, Buckley, WA 98321 Phone: 360-234-2020 Fax: 360-234-2026 |