David C Wynecoop Memorial Clinic Dhhs Ihs Wellpinit Service Unit

NPI #1316034580 in Wellpinit, Washington

Provider Information

NPI Number: 1316034580
Entity Type: Organization
Organization Name: David C Wynecoop Memorial Clinic Dhhs Ihs Wellpinit Service Unit
Primary Specialty: Clinic/Center
Enumeration Date: Oct 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6203 AGENCY LOOP RD
City: Wellpinit
State: Washington
ZIP Code: 99040-0357
Phone: (509) 258-4517

Authorized Official

Name: BILL N WILES
Title: ADMINISTRATIVE OFFICER
Phone: (509) 258-4517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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