White Salmon Family Practice Clinic | |
181jewett Blvd White Salmon WA 98672-0050 | |
(831) 206-0921 | |
Not Available |
Full Name | White Salmon Family Practice Clinic |
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Speciality | Clinic/Center |
Location | 181jewett Blvd, White Salmon, Washington |
Authorized Official Name and Position | Debra Ann Short (NURSE PRACTITIONER, OWNER) |
Authorized Official Contact | 8312060921 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Salmon Family Practice Clinic Po Box 50 White Salmon WA 98672-0050 Ph: (831) 206-0921 | White Salmon Family Practice Clinic 181jewett Blvd White Salmon WA 98672-0050 Ph: (831) 206-0921 |
NPI Number | 1871898700 |
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Provider Enumeration Date | 01/25/2011 |
Last Update Date | 01/26/2011 |
Medicare PECOS PAC ID | 9436320777 |
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Medicare Enrollment ID | O20110919000490 |
Identifier | Type | State | Issuer |
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1871898700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | AP60192028 (Washington) | Primary |
Provider Name | Debra A Short |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154623734 PECOS PAC ID: 0042481392 Enrollment ID: I20110919000652 |
Mid Columbia Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
One Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65371 Highway 14, White Salmon, WA 98672 Phone: 509-493-2133 | |
Skyline Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 Ne Skyline Dr, White Salmon, WA 98672 Phone: 509-637-2810 | |
Providence Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65371 Highway 14, White Salmon, WA 98672 Phone: 503-216-0790 | |
Mid Columbia Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65371 Highway 14, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9544 |