| Lutheran Community Services Northwest | |
|
2545 N Eldorado Ave Klamath Falls OR 97601-6423 | |
| (541) 883-3471 | |
| (541) 883-3524 |
| Full Name | Lutheran Community Services Northwest |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2545 N Eldorado Ave, Klamath Falls, Oregon |
| Authorized Official Name and Position | Nora Foster (DIRECTOR) |
| Authorized Official Contact | 5418833471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Community Services Northwest 2545 N Eldorado Ave Klamath Falls OR 97601-6423 Ph: (541) 883-3471 | Lutheran Community Services Northwest 2545 N Eldorado Ave Klamath Falls OR 97601-6423 Ph: (541) 883-3471 |
| NPI Number | 1114058898 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114058898 | NPI | - | NPPES |
| 164285 | Medicaid | OR | |
| 090450 | Medicaid | OR | |
| 026825000 | Other | OR | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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