Center For Human Development, Inc | |
2301 Cove Avenue La Grande OR 97850 | |
(541) 962-8800 | |
(541) 963-5272 |
Full Name | Center For Human Development, Inc |
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Speciality | Community/Behavioral Health |
Location | 2301 Cove Avenue, La Grande, Oregon |
Authorized Official Name and Position | Veronica Wood (AUTHORIZED DESIGNEE) |
Authorized Official Contact | 5419628812 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Human Development, Inc 2301 Cove Avenue La Grande OR 97850 Ph: (541) 962-8800 | Center For Human Development, Inc 2301 Cove Avenue La Grande OR 97850 Ph: (541) 962-8800 |
NPI Number | 1417982000 |
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Provider Enumeration Date | 07/11/2006 |
Last Update Date | 10/09/2012 |
Medicare PECOS PAC ID | 3678578663 |
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Medicare Enrollment ID | O20060926000208 |
Identifier | Type | State | Issuer |
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1417982000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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