David C Wynecoop Memorial Clinic Dhhs Ihs Wellpinit Service Unit

NPI #1790954907 in Wellpinit, Washington

Provider Information

NPI Number
1790954907
Entity Type
Organization
Organization Name
David C Wynecoop Memorial Clinic Dhhs Ihs Wellpinit Service Unit
Subpart
Yes (part of a larger organization)
Parent Organization
DHHS INDIAN HEALTH SERVICE
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 22, 2008
Last Updated
Feb 22, 2008

Practice Location

Address
6203 AGENCY LOOP RD
ZIP Code
99040-0357
Phone
(509) 258-4517

Authorized Official

Name
MS. APRIL M TOINEETA-FLORES
Title
DIRECTOR
Phone
(509) 258-4517

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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