| Healthy Living Premier Medical Pllc | |
|
1431 N Liberty Lake Rd Ste A Liberty Lake WA 99019-8522 | |
| (509) 928-6700 | |
| Not Available |
| Full Name | Healthy Living Premier Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1431 N Liberty Lake Rd Ste A, Liberty Lake, Washington |
| Authorized Official Name and Position | Susan L Ashley (CEO) |
| Authorized Official Contact | 5099246199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Premier Medical Pllc 1431 N Liberty Lake Rd Ste A Liberty Lake WA 99019-8522 Ph: (509) 928-6700 | Healthy Living Premier Medical Pllc 1431 N Liberty Lake Rd Ste A Liberty Lake WA 99019-8522 Ph: (509) 928-6700 |
| NPI Number | 1952147886 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Medicare PECOS PAC ID | 0941727390 |
|---|---|
| Medicare Enrollment ID | O20250508001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952147886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan L Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821188640 PECOS PAC ID: 7618992470 Enrollment ID: I20051011000312 |
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