| Community Works, Inc. | |
|
201 W Main St #3d Medford OR 97501-2744 | |
| (541) 779-2393 | |
| (541) 779-3317 |
| Full Name | Community Works, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 W Main St, Medford, Oregon |
| Authorized Official Name and Position | Connie R Eidson (DIRECTOR OF BUSINESS) |
| Authorized Official Contact | 5417792393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Works, Inc. 201 W Main St #3d Medford OR 97501-2744 Ph: (541) 779-2393 | Community Works, Inc. 201 W Main St #3d Medford OR 97501-2744 Ph: (541) 779-2393 |
| NPI Number | 1245432509 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245432509 | NPI | - | NPPES |
| 164979 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Oregon) | Primary |
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