| Whitman Medical Group Ps | |
|
1210 W Fairview St Colfax WA 99111-9552 | |
| (509) 397-4717 | |
| (509) 397-3501 |
| Full Name | Whitman Medical Group Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 1210 W Fairview St, Colfax, Washington |
| Authorized Official Name and Position | Nathan James Hymas (ADMINISTRATOR) |
| Authorized Official Contact | 5093974717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitman Medical Group Ps 1210 W Fairview St Colfax WA 99111-9552 Ph: (509) 397-4717 | Whitman Medical Group Ps 1210 W Fairview St Colfax WA 99111-9552 Ph: (509) 397-4717 |
| NPI Number | 1730289596 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730289596 | NPI | - | NPPES |
| 7062987 | Medicaid | WA | |
| 0946290001 | Other | WA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Palouse Gastroenterology P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-3435 |