| Heritage Health Center Inc | |
|
20696 Bond Rd Ne Suite 110 Poulsbo WA 98370 | |
| (360) 697-5500 | |
| (360) 697-5522 |
| Full Name | Heritage Health Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 20696 Bond Rd Ne, Poulsbo, Washington |
| Authorized Official Name and Position | Betty Ann Bennett (OWNER) |
| Authorized Official Contact | 3606975500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Health Center Inc 20696 Bond Rd Ne Suite 110 Poulsbo WA 98370 Ph: (360) 697-5500 | Heritage Health Center Inc 20696 Bond Rd Ne Suite 110 Poulsbo WA 98370 Ph: (360) 697-5500 |
| NPI Number | 1922030444 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922030444 | NPI | - | NPPES |
| 9641366 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | AP30002493 (Washington) | Primary |
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