| Olympia Internal Medicine Assoc.,llc | |
|
525 Lilly Rd Ne Olympia WA 98506 | |
| (360) 493-4410 | |
| (360) 493-5511 |
| Full Name | Olympia Internal Medicine Assoc.,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 Lilly Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Gerald J Fay (OWNER) |
| Authorized Official Contact | 3604934410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Internal Medicine Assoc.,llc 525 Lilly Rd Ne Olympia WA 98506 Ph: (360) 493-4410 | Olympia Internal Medicine Assoc.,llc 525 Lilly Rd Ne Olympia WA 98506 Ph: (360) 493-4410 |
| NPI Number | 1922031855 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 12/17/2009 |
| Medicare PECOS PAC ID | 3173515723 |
|---|---|
| Medicare Enrollment ID | O20040401001507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922031855 | NPI | - | NPPES |
| 7095938 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00018118 (Washington) | Primary |
| Provider Name | Robert J Widrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942341417 PECOS PAC ID: 5496741191 Enrollment ID: I20040420001355 |
| Provider Name | Gerald J Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538200936 PECOS PAC ID: 3577555127 Enrollment ID: I20100127000166 |
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