| Ksr Health Care Llc | |
|
31111 Us-2 Sultan WA 98294 | |
| (360) 953-5250 | |
| Not Available |
| Full Name | Ksr Health Care Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 31111 Us-2, Sultan, Washington |
| Authorized Official Name and Position | Simeon Roth (CEO) |
| Authorized Official Contact | 3609535250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksr Health Care Llc Po Box 90 Sultan WA 98294-0090 Ph: () - | Ksr Health Care Llc 31111 Us-2 Sultan WA 98294 Ph: (360) 953-5250 |
| NPI Number | 1790451292 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790451292 | NPI | - | NPPES |
| 2132773 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Sky Valley Family Medicine, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 W Stevens Ave, Sultan, WA 98294 Phone: 360-793-0201 Fax: 360-793-2429 | |
Sky River Naturopathic Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33405 State Route 2, Sultan, WA 98294 Phone: 360-793-0206 |