| Mobile Unit Ronald Mcdonald | |
|
618b W 1st St Wapato WA 98951-1108 | |
| (509) 575-8457 | |
| Not Available |
| Full Name | Mobile Unit Ronald Mcdonald |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 618b W 1st St, Wapato, Washington |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5068656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Unit Ronald Mcdonald Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | Mobile Unit Ronald Mcdonald 618b W 1st St Wapato WA 98951-1108 Ph: (509) 575-8457 |
| NPI Number | 1407221880 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407221880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mid-valley Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W 1st St, Wapato, WA 98951 Phone: 509-877-4111 |