| Gold Beach Bungalows | |
|
29415 Russell St Gold Beach OR 97444 | |
| (541) 254-0630 | |
| Not Available |
| Full Name | Gold Beach Bungalows |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 29415 Russell St, Gold Beach, Oregon |
| Authorized Official Name and Position | Michael Sewitsky (FINANCE DIRECTOR) |
| Authorized Official Contact | 5418588170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Beach Bungalows 3587 Heathrow Way Medford OR 97504-4004 Ph: (541) 858-8170 | Gold Beach Bungalows 29415 Russell St Gold Beach OR 97444 Ph: (541) 254-0630 |
| NPI Number | 1427553692 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427553692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Brookings Counseling Center Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29641 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-512-5452 | |
Curry County Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29821 Colvin Street, Gold Beach, OR 97444 Phone: 541-247-4082 Fax: 541-247-5058 |