| Hometown Family Medicine Ps | |
|
210 W Main Ave Ritzville WA 99169-1410 | |
| (509) 659-4800 | |
| (509) 659-4801 |
| Full Name | Hometown Family Medicine Ps |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 W Main Ave, Ritzville, Washington |
| Authorized Official Name and Position | Charles M Sackmann (MD-OWNER) |
| Authorized Official Contact | 5096594800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Medicine Ps Po Box 438 210 W. Main Ritzville WA 99169 Ph: (509) 659-4800 | Hometown Family Medicine Ps 210 W Main Ave Ritzville WA 99169-1410 Ph: (509) 659-4800 |
| NPI Number | 1881991131 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 04/13/2015 |
| Medicare PECOS PAC ID | 8426232695 |
|---|---|
| Medicare Enrollment ID | O20110413000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881991131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charles M Sackmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396759635 PECOS PAC ID: 6204850191 Enrollment ID: I20060118000744 |
Adams County Hospital 2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 903 S Adams St, Ritzville, WA 99169 Phone: 509-659-5402 Fax: 509-659-1252 |