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
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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