Foundation Services Group, Inc | |
372 Sw 1st Ave Ontario OR 97914-2734 | |
(541) 881-1271 | |
(541) 881-1256 |
Full Name | Foundation Services Group, Inc |
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Speciality | Community/behavioral Health |
Location | 372 Sw 1st Ave, Ontario, Oregon |
Authorized Official Name and Position | Linda K. Burks (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5418811271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foundation Services Group, Inc 372 Sw 1st Ave Ontario OR 97914-2734 Ph: (541) 881-1271 | Foundation Services Group, Inc 372 Sw 1st Ave Ontario OR 97914-2734 Ph: (541) 881-1271 |
NPI Number | 1457539785 |
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Provider Enumeration Date | 02/08/2008 |
Last Update Date | 02/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457539785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 48846299 (Oregon) | Primary |
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