Southern Oregon Rehabilitation Center And Clinics | |
8495 Crater Lake Hwy White City OR 97503-3011 | |
(541) 826-2111 | |
(541) 830-7485 |
Full Name | Southern Oregon Rehabilitation Center And Clinics |
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Speciality | Clinic/center - Adult Mental Health |
Location | 8495 Crater Lake Hwy, White City, Oregon |
Authorized Official Name and Position | Max E Mcintosh (DIRECTOR) |
Authorized Official Contact | 5418262111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Oregon Rehabilitation Center And Clinics 307 Gangnes Dr Talent OR 97540-6655 Ph: (541) 535-1773 | Southern Oregon Rehabilitation Center And Clinics 8495 Crater Lake Hwy White City OR 97503-3011 Ph: (541) 826-2111 |
NPI Number | 1386714053 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1386714053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | AA426809 (Maryland) | Primary |
Southern Oregon Rehabilitation Center And Clinics Vha Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 Fax: 541-830-3516 | |
Stability Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 26th St, White City, OR 97503 Phone: 541-944-0262 |