| Capital Clubhouse | |
|
1000 Cherry St Se Olympia WA 98501-1433 | |
| (360) 357-2582 | |
| (360) 357-2821 |
| Full Name | Capital Clubhouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 Cherry St Se, Olympia, Washington |
| Authorized Official Name and Position | Katrina Rachele Mccoy (OPERATIONS MANAGER) |
| Authorized Official Contact | 3603572582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Clubhouse 1000 Cherry St Se Olympia WA 98501-1433 Ph: (360) 357-2582 | Capital Clubhouse 1000 Cherry St Se Olympia WA 98501-1433 Ph: (360) 357-2582 |
| NPI Number | 1255571063 |
|---|---|
| Provider Enumeration Date | 03/06/2009 |
| Last Update Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255571063 | NPI | - | NPPES |
| 2002974 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 601-217-168 (Washington) | Primary |
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Northwest Vision Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Cooper Point Rd Sw, Suite 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
Daniel T. Dugaw,d.o., P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Black Hills Ln Sw, Suite E, Olympia, WA 98502 Phone: 360-352-8781 Fax: 360-352-8837 | |
Kaiser Foundation Health Plan Of Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |