MEDICARE: BATTLE GROUND HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician
2	1223D0001X	Public Health Dentistry

General Provider Information

NPI Number	:	1922940402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BATTLE GROUND HEALTHCARE

Provider Business Mailing Address
First Line	:	1910 SW 9TH AVE
Second Line	:
City	:	BATTLE GROUND
State	:	WA
Zip	:	98604-3269
Country	:	US
Telephone Number	:	360-687-8941
Fax Number	:	360-687-7179

Provider Business Practice Location Address
First Line	:	1910 SW 9TH AVE
Second Line	:
City	:	BATTLE GROUND
State	:	WA
Zip	:	98604-3269
Country	:	US
Telephone Number	:	360-687-8941
Fax Number	:	360-687-7179

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NANCY STREBE
Credential	:
Telephone Number	:	360-687-8941

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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