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 |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2545 N Eldorado Ave, Klamath Falls, Oregon |
Authorized Official Name and Position | Shelia Clark (CREDENTIALING) |
Authorized Official Contact | 5412013973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 | 1720105489 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/10/2021 |
Certification Date | 08/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720105489 | NPI | - | NPPES |
090450 | Medicaid | OR | |
026825000 | Other | OR | BCBS PROVIDER # |
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