| Woodinville Urgent Care Evergreen Medical Group | |
|
17000 140th Ave Ne Ste 101 Woodinville WA 98072-6928 | |
| (425) 488-2273 | |
| (425) 488-4971 |
| Full Name | Woodinville Urgent Care Evergreen Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 17000 140th Ave Ne, Woodinville, Washington |
| Authorized Official Name and Position | Robert Malte (CEO) |
| Authorized Official Contact | 4258992610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodinville Urgent Care Evergreen Medical Group Po Box 34036 Seattle WA 98124-1036 Ph: (425) 899-3292 | Woodinville Urgent Care Evergreen Medical Group 17000 140th Ave Ne Ste 101 Woodinville WA 98072-6928 Ph: (425) 488-2273 |
| NPI Number | 1922198191 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922198191 | NPI | - | NPPES |
| CG2833 | Other | WA | MEDICARE RAILROAD |
| CJ9678 | Other | WA | MEDICARE RAILROAD |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| 7072366 | Medicaid | WA | |
| CG8137 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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