| Chc La Clinica - Health Maint. Org | |
|
515 W Court St Pasco WA 99301 | |
| (509) 547-2204 | |
| (509) 542-8836 |
| Full Name | Chc La Clinica - Health Maint. Org |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 515 W Court St, Pasco, Washington |
| Authorized Official Name and Position | Kristy Needham (CEO) |
| Authorized Official Contact | 5095472204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc La Clinica - Health Maint. Org Po Box 1452 Pasco WA 99301 Ph: (509) 547-2204 | Chc La Clinica - Health Maint. Org 515 W Court St Pasco WA 99301 Ph: (509) 547-2204 |
| NPI Number | 1063604056 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063604056 | NPI | - | NPPES |
| 7590003 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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