| |
521 E Mountain View Ave Ellensburg WA 98926-3865 | |
(509) 962-1414 | |
(509) 962-1408 |
Full Name | |
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Speciality | Clinic/Center |
Location | 521 E Mountain View Ave, Ellensburg, Washington |
Authorized Official Name and Position | Angela Gonzalez (CEO) |
Authorized Official Contact | 5094946700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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501 S 5th Ave Yakima WA 98902-3550 Ph: (509) 494-6700 | 521 E Mountain View Ave Ellensburg WA 98926-3865 Ph: (509) 962-1414 |
NPI Number | 1205046141 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 07/29/2020 |
Medicare PECOS PAC ID | 4183536931 |
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Medicare Enrollment ID | O20071114000492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205046141 | NPI | - | NPPES |
7118276 | Medicaid | WA | |
31820 | Other | WA | LABOR AND INDUSTRIES |
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