R & B Fleck Enterprises, Llc | |
1175 Carondelet Dr Richland WA 99354-3300 | |
(509) 713-4381 | |
(509) 529-5860 |
Full Name | R & B Fleck Enterprises, Llc |
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Speciality | General Practice |
Location | 1175 Carondelet Dr, Richland, Washington |
Authorized Official Name and Position | Ronald Wayne Fleck (PRESIDENT) |
Authorized Official Contact | 5092405054 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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R & B Fleck Enterprises, Llc 1365 Beet Rd Walla Walla WA 99362-7180 Ph: (509) 520-1794 | R & B Fleck Enterprises, Llc 1175 Carondelet Dr Richland WA 99354-3300 Ph: (509) 713-4381 |
NPI Number | 1225163926 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 05/01/2025 |
Medicare PECOS PAC ID | 2466438171 |
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Medicare Enrollment ID | O20040624001325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225163926 | NPI | - | NPPES |
1328202 | Medicaid | WA | |
7121478 | Medicaid | WA | |
G8803274 | Other | WA | MEDICARE ID GROUP NUMBER |
1578629226 | Other | WA | INDIVIDUAL NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 252090019815 (Washington) | Primary |
Provider Name | Ronald W Fleck |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1578629226 PECOS PAC ID: 9234115940 Enrollment ID: I20040720001083 |
Provider Name | Douglas Edward Griffith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477195196 PECOS PAC ID: 1052746518 Enrollment ID: I20200110002415 |
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 |