Pacific Comprehensive Health Pllc | |
1200 N 14th Ave Ste 245 Pasco WA 99301-4078 | |
(509) 508-1632 | |
Not Available |
Full Name | Pacific Comprehensive Health Pllc |
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Speciality | Clinic/Center |
Location | 1200 N 14th Ave Ste 245, Pasco, Washington |
Authorized Official Name and Position | Srinivas Mascal (PHYSICIAN) |
Authorized Official Contact | 5095081632 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pacific Comprehensive Health Pllc 1200 N 14th Ave Ste 245 Pasco WA 99301-4078 Ph: (509) 508-1632 | Pacific Comprehensive Health Pllc 1200 N 14th Ave Ste 245 Pasco WA 99301-4078 Ph: (509) 508-1632 |
NPI Number | 1659096964 |
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Provider Enumeration Date | 10/10/2022 |
Last Update Date | 11/08/2022 |
Medicare PECOS PAC ID | 9931579646 |
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Medicare Enrollment ID | O20221221000782 |
Identifier | Type | State | Issuer |
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1659096964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Srinivas Murthy Mascal Gangadharaiah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033488077 PECOS PAC ID: 6002060027 Enrollment ID: I20130129000064 |
Alex B Najera Md Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 N Road 44, Pasco, WA 99301 Phone: 509-544-2156 Fax: 509-544-2158 | |
Columbia Safety Medical Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9530 Bedford St, Pasco, WA 99301 Phone: 509-820-3883 |