| Alsea Clinic | |
|
201 N. 4th St. Alsea OR 97324-0229 | |
| (541) 487-7116 | |
| (541) 487-4076 |
| Full Name | Alsea Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 201 N. 4th St., Alsea, Oregon |
| Authorized Official Name and Position | Mary Ann Carr (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 5414877116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alsea Clinic 435 E. Alder St. Po Box 229 Alsea OR 97324-0229 Ph: (541) 487-7116 | Alsea Clinic 201 N. 4th St. Alsea OR 97324-0229 Ph: (541) 487-7116 |
| NPI Number | 1275576159 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275576159 | NPI | - | NPPES |
| 267872 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Oregon) | Primary |
Benton County Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 E Alder St, Alsea, OR 97324 Phone: 541-487-7116 Fax: 541-487-4076 |