| Adventist Health Tillamook Medical Group - Vernonia | |
|
1005 Cougar St Vernonia OR 97064-1282 | |
| (503) 842-4444 | |
| Not Available |
| Full Name | Adventist Health Tillamook Medical Group - Vernonia |
|---|---|
| Speciality | Clinic/Center |
| Location | 1005 Cougar St, Vernonia, 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 Tillamook Medical Group - Vernonia 1000 3rd St Tillamook OR 97141-3430 Ph: () - | Adventist Health Tillamook Medical Group - Vernonia 1005 Cougar St Vernonia OR 97064-1282 Ph: (503) 842-4444 |
| NPI Number | 1285164921 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 5092619569 |
|---|---|
| Medicare Enrollment ID | O20180108001635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285164921 | NPI | - | NPPES |
| 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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