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Organization
COLUMBIA BASIN MOBILE MEDICINE LLC
Active
Organization
COLUMBIA BASIN MOBILE MEDICINE LLC
Active
Other names
Columbia Basin Mobile Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SHOEMAKER (OWNER)
(509) 942-1022
Entity
Organization
Contact information
Practice address
1357 PLATINUM PL, WEST RICHLAND, WA 99353-5108
(509) 942-1022
(877) 839-8911
Mailing address
1357 PLATINUM PL, WEST RICHLAND, WA 99353-5108
(509) 942-1022
(877) 839-8911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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