| Bandon Community Health Ctr | |
|
312 Tichenor St Port Orford OR 97465-8672 | |
| (541) 347-2529 | |
| (541) 347-9196 |
| Full Name | Bandon Community Health Ctr |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 Tichenor St, Port Orford, Oregon |
| Authorized Official Name and Position | Linda S Maxon (CEO) |
| Authorized Official Contact | 5413472529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bandon Community Health Ctr 1010 1st St Se Ste 110 Bandon OR 97411-9301 Ph: (541) 347-2529 | Bandon Community Health Ctr 312 Tichenor St Port Orford OR 97465-8672 Ph: (541) 347-2529 |
| NPI Number | 1013587484 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Medicare PECOS PAC ID | 1557416757 |
|---|---|
| Medicare Enrollment ID | O20220805002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013587484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Auborn Center For Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Highway 101, Port Orford, OR 97465 Phone: 541-347-2529 | |
Curry Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Madrona St, Port Orford, OR 97465 Phone: 541-332-3861 Fax: 541-332-3861 |