| Ccs Grant | |
|
528 E Main St Suite W John Day OR 97845-1289 | |
| (541) 575-1466 | |
| Not Available |
| Full Name | Ccs Grant |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 528 E Main St, John Day, Oregon |
| Authorized Official Name and Position | Shannon Boor (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Contact | 5416769161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccs Grant Po Box 469 Heppner OR 97836-0469 Ph: (541) 676-9161 | Ccs Grant 528 E Main St Suite W John Day OR 97845-1289 Ph: (541) 575-1466 |
| NPI Number | 1548698053 |
|---|---|
| Provider Enumeration Date | 10/18/2013 |
| Last Update Date | 10/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548698053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Grant County Center For Human Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 East Main St, Suite W, John Day, OR 97845 Phone: 541-575-1466 Fax: 541-575-1411 |