| Grant County Public Hospital District 1 | |
|
8420 Aspi Blvd Moses Lake WA 98837-1820 | |
| (509) 793-9781 | |
| (509) 764-3244 |
| Full Name | Grant County Public Hospital District 1 |
|---|---|
| Speciality | Clinic/Center |
| Location | 8420 Aspi Blvd, Moses Lake, Washington |
| Authorized Official Name and Position | Theresa Sullivan (CFO SAMARITAN HOSPITAL) |
| Authorized Official Contact | 5097939700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant County Public Hospital District 1 660 S Coolidge St Moses Lake WA 98837-1872 Ph: (509) 793-9634 | Grant County Public Hospital District 1 8420 Aspi Blvd Moses Lake WA 98837-1820 Ph: (509) 793-9781 |
| NPI Number | 1609112739 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/28/2020 |
| Medicare PECOS PAC ID | 9931095692 |
|---|---|
| Medicare Enrollment ID | O20190926001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609112739 | NPI | - | NPPES |
| 2028741 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Healthsource Of Moses Lake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W 3rd Ave, Moses Lake, WA 98837 Phone: 509-765-0638 Fax: 509-765-3891 | |
Moses Lake Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-764-0674 Fax: 509-764-0344 | |
Omni Staffing Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Pilgrim St, Moses Lake, WA 98837 Phone: 509-855-5497 Fax: 509-639-7063 | |
Parkview Pediatrics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 S Division St, Moses Lake, WA 98837 Phone: 509-766-9450 Fax: 509-766-1954 | |
United Backcare Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 E Broadway Ave Ste 11, Moses Lake, WA 98837 Phone: 425-513-8509 Fax: 425-290-9774 | |
Moses Lake Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591 | |
Aion Womens Health Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1022 S Pioneer Way Ste A, Moses Lake, WA 98837 Phone: 509-762-2466 Fax: 509-762-2465 |