| Adventist Health Bayshore Medical Pacific City | |
|
38505 Brooten Rd Pacific City OR 97135-8049 | |
| (503) 965-6555 | |
| Not Available |
| Full Name | Adventist Health Bayshore Medical Pacific City |
|---|---|
| Speciality | Clinic/Center |
| Location | 38505 Brooten Rd, Pacific City, Oregon |
| Authorized Official Name and Position | Micah Smith (FO) |
| Authorized Official Contact | 5038152263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Bayshore Medical Pacific City 1000 3rd St Tillamook OR 97141-3430 Ph: () - | Adventist Health Bayshore Medical Pacific City 38505 Brooten Rd Pacific City OR 97135-8049 Ph: (503) 965-6555 |
| NPI Number | 1427399294 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 5092619569 |
|---|---|
| Medicare Enrollment ID | O20130619000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427399294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 14-1177 (Oregon) | Secondary |
Bayshore Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38505 Brooten Rd., Suite A, Pacific City, OR 97135 Phone: 503-965-6555 Fax: 503-965-6800 |