| Franciscan Medical Group | |
|
1175 Center Dr #130 Dupont WA 98327-7733 | |
| (253) 539-9735 | |
| (253) 539-7981 |
| Full Name | Franciscan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1175 Center Dr, Dupont, Washington |
| Authorized Official Name and Position | Cliff A. Robertson (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2537796101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Franciscan Medical Group 1175 Center Dr #130 Dupont WA 98327-7733 Ph: (253) 964-5260 | Franciscan Medical Group 1175 Center Dr #130 Dupont WA 98327-7733 Ph: (253) 539-9735 |
| NPI Number | 1356486260 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356486260 | NPI | - | NPPES |
| 0217715 | Other | WA | STATE L&I |
| 7137136 | Medicaid | WA | |
| 7136674 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00002173 (Washington) | Primary |