| Comprehensive Family Care Pllc | |
|
821 E Broadway Suite 1 Moses Lake WA 98837 | |
| (509) 765-1602 | |
| Not Available |
| Full Name | Comprehensive Family Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 E Broadway, Moses Lake, Washington |
| Authorized Official Name and Position | Irene K Kimura (OWNER) |
| Authorized Official Contact | 5097651602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Family Care Pllc 821 E Broadway Suite 1 Moses Lake WA 98837 Ph: (509) 765-1602 | Comprehensive Family Care Pllc 821 E Broadway Suite 1 Moses Lake WA 98837 Ph: (509) 765-1602 |
| NPI Number | 1881859601 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 07/02/2012 |
| Medicare PECOS PAC ID | 8628143393 |
|---|---|
| Medicare Enrollment ID | O20080814000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881859601 | NPI | - | NPPES |
| 1125855 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Pacific Rehabilitation Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 E Broadway Ave Ste 11, Moses Lake, WA 98837 Phone: 425-513-8509 Fax: 425-290-9774 | |
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