| |
1105 Se Jetty Ave Lincoln City OR 97367-2632 | |
(541) 614-0482 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1105 Se Jetty Ave, Lincoln City, Oregon |
Authorized Official Name and Position | Gina F Seufert (VP, PHYSICIAN & CLINIC SERVICES) |
Authorized Official Contact | 5038152414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1000 3rd St Tillamook OR 97141-3430 Ph: () - | 1105 Se Jetty Ave Lincoln City OR 97367-2632 Ph: (541) 614-0482 |
NPI Number | 1811238322 |
---|---|
Provider Enumeration Date | 03/07/2013 |
Last Update Date | 03/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811238322 | NPI | - | NPPES |
005533 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
282NC0060X | General Acute Care Hospital - Critical Access | 141177 (Oregon) | Secondary |
Samaritan North Lincoln Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 28th St, Lincoln City, OR 97367 Phone: 541-768-7900 | |