| Grant County Public Hospital District No 5 | |
|
206 Government Rd Mattawa WA 99349-5116 | |
| (509) 932-4499 | |
| (509) 932-5363 |
| Full Name | Grant County Public Hospital District No 5 |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 Government Rd, Mattawa, Washington |
| Authorized Official Name and Position | Dana S Fox (CEO) |
| Authorized Official Contact | 5099324499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant County Public Hospital District No 5 210 Government Rd Mattawa WA 99349-5116 Ph: (509) 932-4499 | Grant County Public Hospital District No 5 206 Government Rd Mattawa WA 99349-5116 Ph: (509) 932-4499 |
| NPI Number | 1013743210 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 12/04/2024 |
| Medicare PECOS PAC ID | 3274525837 |
|---|---|
| Medicare Enrollment ID | O20240710000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013743210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Columbia Basin Health Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Government Way, Mattawa, WA 99349 Phone: 509-932-3535 Fax: 509-488-9939 | |
Grant County Public Hospital District No 5 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Government Road, Mattawa, WA 99349 Phone: 509-932-4499 Fax: 509-932-5363 | |
Columbia Basin Health Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Government Way, Mattawa, WA 99349 Phone: 509-488-5256 Fax: 509-488-9939 |