Full Name | |
---|---|
Speciality | Family Medicine |
Location | 600 E Main St, Elma, Washington |
Authorized Official Name and Position | Will Callicoat (CFO) |
Authorized Official Contact | 3603462222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
600 E Main St Elma WA 98541-9560 Ph: (360) 346-2299 | 600 E Main St Elma WA 98541-9560 Ph: (360) 346-2222 |
NPI Number | 1043730021 |
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Provider Enumeration Date | 06/21/2017 |
Last Update Date | 06/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043730021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 600424913 (Washington) | Primary |
Pacific Medical Specialty Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1117 W Young St, Elma, WA 98541 Phone: 503-805-8865 | |
Olympic Valley Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 Schouweiler Rd, Elma, WA 98541 Phone: 360-482-5300 Fax: 360-482-5900 | |