Providence Northeast Washington Medical Group - Kettle Falls is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Kettle Falls, Washington. The current practice location for Providence Northeast Washington Medical Group - Kettle Falls is 840 S Meyers St, Kettle Falls, Washington. For appointments, you can reach them via phone at
(509) 685-7848. The mailing address for Providence Northeast Washington Medical Group - Kettle Falls is Po Box 421, Liberty Lake, Washington and phone number is (509) 685-7848.
Providence Northeast Washington Medical Group - Kettle Falls is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1538413109. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(509) 685-7848.
Primary Care Clinic Profile
| Full Name | Providence Northeast Washington Medical Group - Kettle Falls |
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| Speciality | Clinic/Center |
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| Location | 840 S Meyers St, Kettle Falls, Washington |
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| Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC ENROLLMNT/DIR REIMB REG) |
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| Authorized Official Contact | 4255255392 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Providence Northeast Washington Medical Group - Kettle Falls
Po Box 421
Liberty Lake
WA 99019-0421
Ph: (509) 685-7848 | Providence Northeast Washington Medical Group - Kettle Falls
840 S Meyers St
Kettle Falls
WA 99141-7005
Ph: (509) 685-7848 |
NPI Details:
| NPI Number | 1538413109 |
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| Provider Enumeration Date | 11/05/2012 |
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| Last Update Date | 10/15/2019 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0345139929 |
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| Medicare Enrollment ID | O20130510000564 |
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Medical Identifiers
Medical identifiers for Providence Northeast Washington Medical Group - Kettle Falls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538413109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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