Organization
FAIRHAVEN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE SPROULE ARNP (OWNER)
(360) 899-4086
Entity
Organization
Contact information
Practice address
1401 6TH ST, BELLINGHAM, WA 98225-7057
(360) 733-2904
(833) 464-3389
Mailing address
1401 6TH ST, BELLINGHAM, WA 98225-7057
(360) 733-2904
(833) 464-3389
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
02/28/2023
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