| Gage Inpatient Services | |
|
1221 Highland Ave Clarkston WA 99403-2829 | |
| (208) 799-5522 | |
| Not Available |
| Full Name | Gage Inpatient Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1221 Highland Ave, Clarkston, Washington |
| Authorized Official Name and Position | Angel Iscovich (PRESIDENT/OWNER) |
| Authorized Official Contact | 2147122403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gage Inpatient Services Po Box 13651 Philadelphia PA 19101-3651 Ph: () - | Gage Inpatient Services 1221 Highland Ave Clarkston WA 99403-2829 Ph: (208) 799-5522 |
| NPI Number | 1396779328 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396779328 | NPI | - | NPPES |
| DUTD5 | Other | ID | IDAHO BLUE CROSS |
| 7134851 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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