| Columbia Basin Family Medicine Clinic | |
|
220 Nat Washington Way Ephrata WA 98823-1982 | |
| (509) 754-3330 | |
| (509) 754-2351 |
| Full Name | Columbia Basin Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Nat Washington Way, Ephrata, Washington |
| Authorized Official Name and Position | Rosalinda Kibby (ADMINISTRATOR) |
| Authorized Official Contact | 5097544631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Basin Family Medicine Clinic 220 Nat Washington Way Ephrata WA 98823-1982 Ph: (509) 754-3330 | Columbia Basin Family Medicine Clinic 220 Nat Washington Way Ephrata WA 98823-1982 Ph: (509) 754-3330 |
| NPI Number | 1699839472 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 8325937675 |
|---|---|
| Medicare Enrollment ID | O20040313000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699839472 | NPI | - | NPPES |
| 7043102 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
| Provider Name | Ute M Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063457281 PECOS PAC ID: 5092793067 Enrollment ID: I20040708000209 |
| Provider Name | Meagan A Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285726919 PECOS PAC ID: 3274630751 Enrollment ID: I20070517000259 |
| Provider Name | Hollie Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386856169 PECOS PAC ID: 9830262153 Enrollment ID: I20080721000242 |
| Provider Name | Alexander L Brzezny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952401838 PECOS PAC ID: 8325214703 Enrollment ID: I20120106000220 |
| Provider Name | Deanna S Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952605479 PECOS PAC ID: 4880627264 Enrollment ID: I20140703001123 |
| Provider Name | Valerie A Burgelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649290081 PECOS PAC ID: 1951323591 Enrollment ID: I20240116002656 |
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Columbia Basin Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-3330 Fax: 509-754-2351 | |
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