Bandon Community Health Ctr is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Port Orford, Oregon. The current practice location for Bandon Community Health Ctr is 312 Tichenor St, Port Orford, Oregon. For appointments, you can reach them via phone at
(541) 347-2529. The mailing address for Bandon Community Health Ctr is 1010 1st St Se Ste 110, Bandon, Oregon and phone number is (541) 347-2529.
Bandon Community Health Ctr is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1013587484. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(541) 347-2529.
Primary Care Clinic Profile
| Full Name | Bandon Community Health Ctr |
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| Speciality | Clinic/Center |
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| Location | 312 Tichenor St, Port Orford, Oregon |
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| Authorized Official Name and Position | Linda S Maxon (CEO) |
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| Authorized Official Contact | 5413472529 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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 Details:
| NPI Number | 1013587484 |
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| Provider Enumeration Date | 06/29/2021 |
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| Last Update Date | 06/29/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1557416757 |
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| Medicare Enrollment ID | O20220805002034 |
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Medical Identifiers
Medical identifiers for Bandon Community Health Ctr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013587484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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