| Foureight Transitions | |
|
180 Lithia Way Ste 204 Ashland OR 97520-1891 | |
| (541) 843-4848 | |
| Not Available |
| Full Name | Foureight Transitions |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Lithia Way Ste 204, Ashland, Oregon |
| Authorized Official Name and Position | Chris Kovash (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5418434848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foureight Transitions 180 Lithia Way Ste 204 Ashland OR 97520-1891 Ph: (541) 843-4848 | Foureight Transitions 180 Lithia Way Ste 204 Ashland OR 97520-1891 Ph: (541) 843-4848 |
| NPI Number | 1205597432 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 0749631869 |
|---|---|
| Medicare Enrollment ID | O20240412000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205597432 | NPI | - | NPPES |
| Provider Name | Chris Thomas Kovash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659944643 PECOS PAC ID: 5092199794 Enrollment ID: I20240508000995 |
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