| Physicians Immediate Care & Medical Centers, P.s. | |
|
1215 George Washington Way Richland WA 99352-3411 | |
| (509) 946-7646 | |
| (546) 946-7666 |
| Full Name | Physicians Immediate Care & Medical Centers, P.s. |
|---|---|
| Speciality | Family Medicine |
| Location | 1215 George Washington Way, Richland, Washington |
| Authorized Official Name and Position | Erica Hauser (CFO) |
| Authorized Official Contact | 3125905372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Immediate Care & Medical Centers, P.s. Po Box 5999 Portland OR 97228-5999 Ph: () - | Physicians Immediate Care & Medical Centers, P.s. 1215 George Washington Way Richland WA 99352-3411 Ph: (509) 946-7646 |
| NPI Number | 1821002510 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 7618865775 |
|---|---|
| Medicare Enrollment ID | O20040309001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821002510 | NPI | - | NPPES |
| 0040370 | Other | WA | LABOR & INDUSTRIES |
| 7049950 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Charles L Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134283153 PECOS PAC ID: 5496740516 Enrollment ID: I20040419000293 |
| Provider Name | Tracy Candace W Degenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003895533 PECOS PAC ID: 3274580048 Enrollment ID: I20050404000782 |
| Provider Name | Martin J Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225082811 PECOS PAC ID: 5294775755 Enrollment ID: I20050504000957 |
| Provider Name | Rhonda M Ramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518118884 PECOS PAC ID: 6901968916 Enrollment ID: I20081230000338 |
| Provider Name | Marie L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568475119 PECOS PAC ID: 0749338127 Enrollment ID: I20090423000749 |
| Provider Name | Douglas E Newton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508840521 PECOS PAC ID: 3173655263 Enrollment ID: I20100726000571 |
| Provider Name | Douglas Walter Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912944786 PECOS PAC ID: 3577759851 Enrollment ID: I20101129000680 |
| Provider Name | Virginia Smith-dunwoody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629320874 PECOS PAC ID: 7719139476 Enrollment ID: I20140718001373 |
| Provider Name | Deborah Ann Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205180551 PECOS PAC ID: 6800109745 Enrollment ID: I20150721001148 |
| Provider Name | Cijiana Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700360328 PECOS PAC ID: 0345585683 Enrollment ID: I20181214001668 |
| Provider Name | Gabriel Bayi Ekortarh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922478890 PECOS PAC ID: 3476853250 Enrollment ID: I20190103000159 |
| Provider Name | Kaylee L Vantrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558635508 PECOS PAC ID: 2264766260 Enrollment ID: I20190625002927 |
| Provider Name | Jillian Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843447 PECOS PAC ID: 9234430026 Enrollment ID: I20190827003243 |
| Provider Name | Mick A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487295531 PECOS PAC ID: 3274967799 Enrollment ID: I20191216002282 |
| Provider Name | Stephanie Jean Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861034605 PECOS PAC ID: 3971939711 Enrollment ID: I20200214000538 |
| Provider Name | Lindsay A Michaelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282022 PECOS PAC ID: 4183969066 Enrollment ID: I20210430002278 |
| Provider Name | Amy Hinshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720582315 PECOS PAC ID: 2860755568 Enrollment ID: I20210908001179 |
| Provider Name | Jadie Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124640842 PECOS PAC ID: 5395164578 Enrollment ID: I20220307001078 |
| Provider Name | Ann Bowers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285658625 PECOS PAC ID: 9638082019 Enrollment ID: I20220504002475 |
| Provider Name | Nichole Marie Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003582974 PECOS PAC ID: 3072990530 Enrollment ID: I20220523001192 |
| Provider Name | Michelle P Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841921277 PECOS PAC ID: 7719367390 Enrollment ID: I20220629003128 |
| Provider Name | Nils E Foley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730221466 PECOS PAC ID: 9234188012 Enrollment ID: I20221214003009 |
| Provider Name | Cristal Henzel Buescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891577888 PECOS PAC ID: 0840642435 Enrollment ID: I20240118004638 |
| Provider Name | Cynthia Voegeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073560009 PECOS PAC ID: 5991782203 Enrollment ID: I20240510002845 |
| Provider Name | Jaimee Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861151995 PECOS PAC ID: 2062806755 Enrollment ID: I20240529002173 |
| Provider Name | Njui Tabi Ngwi Tanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114780723 PECOS PAC ID: 1658810148 Enrollment ID: I20240828002735 |
| Provider Name | Krystle Lowrance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255927612 PECOS PAC ID: 8426442211 Enrollment ID: I20240918000938 |
| Provider Name | Clyn Elan Alivio Cagas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811740855 PECOS PAC ID: 0749727824 Enrollment ID: I20240920003099 |
| Provider Name | Luis Razo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346082179 PECOS PAC ID: 2769913854 Enrollment ID: I20240930003666 |
| Provider Name | Andraya Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730870015 PECOS PAC ID: 9133581499 Enrollment ID: I20241212002928 |
| Provider Name | Sarah Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114631132 PECOS PAC ID: 9638602634 Enrollment ID: I20250122001039 |
Shriners Hospitals For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Swift Blvd Ste A, Richland, WA 99352 Phone: 509-942-2573 Fax: 509-943-5652 | |
Tri-cities Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Goethals Dr, Richland, WA 99352 Phone: 509-547-2204 Fax: 509-946-0051 | |
Richland Family Medicine Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 George Washington Way, Suite #1, Richland, WA 99352 Phone: 509-946-9664 | |
Kemunto Kakumba Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1446 Spaulding Park, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Robert L. Whitson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 Stevens Dr, Richland, WA 99352 Phone: 509-946-5233 Fax: 509-946-5326 | |
William Kalichman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Gage Blvd, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Barbara L Atwood Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 953 Stevens Dr, Suite B, Richland, WA 99352 Phone: 509-946-0802 Fax: 509-946-0104 |