|
| |
|
16255 Ne 87th St Ste 150 Redmond WA 98052-7464 | |
| (425) 833-8000 | |
| (425) 883-7580 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 16255 Ne 87th St Ste 150, Redmond, Washington |
| Authorized Official Name and Position | Vicki Hammond (CFO) |
| Authorized Official Contact | 4252771311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
955 Powell Ave Sw Renton WA 98057-2908 Ph: (425) 277-1311 | 16255 Ne 87th St Ste 150 Redmond WA 98052-7464 Ph: (425) 833-8000 |
| NPI Number | 1548253263 |
|---|---|
| Provider Enumeration Date | 08/29/2005 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548253263 | NPI | - | NPPES |
| 5017199 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Washington Dental Corporation, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17126 Redmond Way, Redmond, WA 98052 Phone: 425-224-8141 Fax: 425-224-8141 | |
Quirt, Mongrain, Gibree, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16150 Ne 85th St Ste 126, Redmond, WA 98052 Phone: 425-881-6699 | |
Growing Smiles Children's Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8301 161st Ave Ne Ste 205, Redmond, WA 98052 Phone: 425-786-9690 | |
Patricia Mu Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16510 Cleveland St Ste Q, Redmond, WA 98052 Phone: 425-882-1112 Fax: 425-883-8292 |