Adventist Health/tillamook Medical Group Bay Ocean | |
1011 3rd St Tillamook OR 97141-8292 | |
(503) 815-2306 | |
(503) 815-2330 |
Full Name | Adventist Health/tillamook Medical Group Bay Ocean |
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Speciality | Clinic/Center |
Location | 1011 3rd St, Tillamook, 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 |
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Adventist Health/tillamook Medical Group Bay Ocean Po Box 888860 Los Angeles CA 90088-8860 Ph: () - | Adventist Health/tillamook Medical Group Bay Ocean 1011 3rd St Tillamook OR 97141-8292 Ph: (503) 815-2306 |
NPI Number | 1326349416 |
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Provider Enumeration Date | 11/05/2010 |
Last Update Date | 01/14/2022 |
Medicare PECOS PAC ID | 5092619569 |
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Medicare Enrollment ID | O20101123001190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326349416 | 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 |
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