| Whidbey Island Public Hospital District | |
|
11245 Sr 525 Clinton WA 98236 | |
| (360) 341-5252 | |
| (360) 341-8727 |
| Full Name | Whidbey Island Public Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 11245 Sr 525, Clinton, Washington |
| Authorized Official Name and Position | Garth A Miller (COO) |
| Authorized Official Contact | 3606787656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whidbey Island Public Hospital District Po Box 24789 Seattle WA 98124-0789 Ph: (360) 678-7656 | Whidbey Island Public Hospital District 11245 Sr 525 Clinton WA 98236 Ph: (360) 341-5252 |
| NPI Number | 1154361590 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 1658280680 |
|---|---|
| Medicare Enrollment ID | O20030417000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154361590 | NPI | - | NPPES |
| 7105513 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000092 (Washington) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Soas, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8970 State Route 525, Clinton, WA 98236 Phone: 360-341-3885 Fax: 360-341-3886 |