Organization
SKAGIT FAMILY HEALTH CLINIC LLC COWAN SETH P MBR
Active
Other names
Mount Vernon Birth Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN ANTONICH (DIRECTOR)
(360) 336-9997
Entity
Organization
Contact information
Practice address
916 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 336-9997
(360) 336-5655
Mailing address
916 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 336-9997
(360) 336-5655
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
CBC.FS.60172666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008959
—
WA
Enumeration date
08/24/2010
Last updated
09/02/2022
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