| Red Knight Clinic LLC | |
|
345 Moko Pl La Conner WA 98257-9535 | |
| (360) 466-8842 | |
| Not Available |
| Full Name | Red Knight Clinic LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 345 Moko Pl, La Conner, Washington |
| Authorized Official Name and Position | Wilbert Daniel James (FOUNDER) |
| Authorized Official Contact | 3604668842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Knight Clinic LLC 345 Moko Pl La Conner WA 98257-9535 Ph: (360) 466-8842 | Red Knight Clinic LLC 345 Moko Pl La Conner WA 98257-9535 Ph: (360) 466-8842 |
| NPI Number | 1104612183 |
|---|---|
| Provider Enumeration Date | 04/16/2025 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Medicare PECOS PAC ID | 2163921537 |
|---|---|
| Medicare Enrollment ID | O20250814002293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104612183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Wilbert D James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033246673 PECOS PAC ID: 3678634649 Enrollment ID: I20120521000309 |
Swinomish Indian Tribal Community Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17400 Reservation Rd, La Conner, WA 98257 Phone: 360-466-3167 Fax: 360-466-5528 |
Doctors Home Visits Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S First, Suite B, La Conner, WA 98257 Phone: 360-466-2251 Fax: 360-466-5673 |
Soas LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 E Morris St, La Conner, WA 98257 Phone: 360-466-3124 Fax: 360-466-4775 |
Loveblossom, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17307 Snee Oosh Rd, La Conner, WA 98257 Phone: 907-738-4507 |
Swinomish Indian Tribal Community Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17400 Reservation Rd, La Conner, WA 98257 Phone: 360-466-3167 Fax: 360-466-5528 |
Internal Medicine Consultants NW PS Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 456 Klickitat Dr, La Conner, WA 98257 Phone: 360-466-9223 |