| Ephrata Medical Center P.s. | |
|
508 W Division Ave Ephrata WA 98823-1887 | |
| (509) 754-3563 | |
| (509) 754-5124 |
| Full Name | Ephrata Medical Center P.s. |
|---|---|
| Speciality | Clinic/center |
| Location | 508 W Division Ave, Ephrata, Washington |
| Authorized Official Name and Position | Lowell C. Allred (OWNER) |
| Authorized Official Contact | 5097543563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephrata Medical Center P.s. 508 W Division Ave Ephrata WA 98823-1887 Ph: (509) 754-3563 | Ephrata Medical Center P.s. 508 W Division Ave Ephrata WA 98823-1887 Ph: (509) 754-3563 |
| NPI Number | 1437261914 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437261914 | NPI | - | NPPES |
| 7841000 | Medicaid | WA | |
| 8457400 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD00019203 (Washington) | Primary |
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