| Sumas Clinic, Inc. P.s. | |
|
112 Columbia St. Sumas WA 98295-1010 | |
| (360) 988-9404 | |
| (360) 988-9409 |
| Full Name | Sumas Clinic, Inc. P.s. |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Columbia St., Sumas, Washington |
| Authorized Official Name and Position | Rodney Lee Brian Thompson (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3609889404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumas Clinic, Inc. P.s. Po Box 1010 112 Columbia St. Sumas WA 98295-1010 Ph: (360) 988-9404 | Sumas Clinic, Inc. P.s. 112 Columbia St. Sumas WA 98295-1010 Ph: (360) 988-9404 |
| NPI Number | 1508056052 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508056052 | NPI | - | NPPES |
| 7127285 | Medicaid | WA | |
| 8294498 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00039892 (Washington) | Primary |