Organization
NORTH CENTRAL WASHINGTON HEALTH LLC
Active
Other names
Mansfield Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELDON LESTER LEINWEBER PA-C (CEO, MANAGER)
(509) 881-7503
Entity
Organization
Contact information
Practice address
22 WEST HIGHWAY 28, SOAP LAKE, WA 98851
(509) 888-9606
(509) 246-8001
Mailing address
PO BOX 1050, SOAP LAKE, WA 98851-1050
(509) 888-9606
(509) 246-8001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA10004217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8418451
—
WA
01
—
Q59925
UPIN
WA
Enumeration date
12/18/2012
Last updated
05/24/2016
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