| Ahavahealthcare Llc | |
|
17054 Indio Rd Bend OR 97707 | |
| (541) 203-3110 | |
| Not Available |
| Full Name | Ahavahealthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17054 Indio Rd, Bend, Oregon |
| Authorized Official Name and Position | Joel Myers (CO-OWNER/ LEAD PRACTITIONER) |
| Authorized Official Contact | 5412033110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahavahealthcare Llc Po Box 4931 Bend OR 97707-4931 Ph: (541) 203-3110 | Ahavahealthcare Llc 17054 Indio Rd Bend OR 97707 Ph: (541) 203-3110 |
| NPI Number | 1790489714 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 4880050087 |
|---|---|
| Medicare Enrollment ID | O20230512002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790489714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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