| Whidbey Island Public Hospital District | |
|
19203 Hazel Dell Rd Higginsville MO 64037-9162 | |
| (360) 678-5151 | |
| Not Available |
| Full Name | Whidbey Island Public Hospital District |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19203 Hazel Dell Rd, Higginsville, Missouri |
| Authorized Official Name and Position | Ronald L Telles (CEO) |
| Authorized Official Contact | 3606787656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whidbey Island Public Hospital District Po Box 3603 Seattle WA 98124-3603 Ph: (360) 678-7656 | Whidbey Island Public Hospital District 19203 Hazel Dell Rd Higginsville MO 64037-9162 Ph: (360) 678-5151 |
| NPI Number | 1548709603 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548709603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
State Of Missouri Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West 1st St, Higginsville, MO 64037 Phone: 660-584-2142 Fax: 660-584-6244 | |
Assent Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 W 22nd St, Higginsville, MO 64037 Phone: 209-496-7223 |