<unavail> in Vancouver, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Vancouver, Washington. The current practice location for is 7410 Delaware Ln, Vancouver, Washington. For appointments, you can reach them via phone at (360) 566-4402. The mailing address for is Po Box 34703, Seattle, Washington and phone number is () -.

is licensed to practice in Washington (license number 6005372781). The clinic also participates in the medicare program and its NPI number is 1548318868. 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 (360) 566-4402.

Contact Information


	7410 Delaware Ln Vancouver WA 98664-1408
	(360) 566-4402
	(360) 566-4406

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	7410 Delaware Ln, Vancouver, Washington
Authorized Official Name and Position	Mary Bartolo (EXECUTIVE VICE PRESIDENT)
Authorized Official Contact	2067635277
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 34703 Seattle WA 98124-1703 Ph: () -	7410 Delaware Ln Vancouver WA 98664-1408 Ph: (360) 566-4402

NPI Details:

NPI Number	1548318868
Provider Enumeration Date	01/05/2007
Last Update Date	02/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7315831161
Medicare Enrollment ID	O20040618000549

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548318868	NPI	-	NPPES
1013043	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	6005372781 (Washington)	Primary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Vancouver, WA

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Main Street Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Ne 88th St Ste D102, Vancouver, WA 98665 Phone: 360-474-5905 Fax: 360-639-8017
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- Medicare Primary Care in Vancouver, WA