| White River Family Care Llc | |
|
305 N.river Ave. Buckley WA 98321 | |
| (360) 829-0625 | |
| (360) 829-9860 |
| Full Name | White River Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 305 N.river Ave., Buckley, Washington |
| Authorized Official Name and Position | Cindy Jane Kruizenga (OFFICE MANAGER) |
| Authorized Official Contact | 3608290625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Family Care Llc Po Box 1268 Buckley WA 98321 Ph: (360) 829-0625 | White River Family Care Llc 305 N.river Ave. Buckley WA 98321 Ph: (360) 829-0625 |
| NPI Number | 1649394800 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 10/04/2018 |
| Medicare PECOS PAC ID | 1254323447 |
|---|---|
| Medicare Enrollment ID | O20040330001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649394800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael A Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235122763 PECOS PAC ID: 7214929405 Enrollment ID: I20100430000463 |
Hope Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Main St, Buckley, WA 98321 Phone: 360-234-2020 Fax: 360-234-2026 |