| Benton County Health Services | |
|
530 Nw 27th St Corvallis OR 97330-5223 | |
| (541) 766-6385 | |
| (541) 766-6186 |
| Full Name | Benton County Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 530 Nw 27th St, Corvallis, Oregon |
| Authorized Official Name and Position | Sherlyn Dahl (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 5417662131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County Health Services Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6835 | Benton County Health Services 530 Nw 27th St Corvallis OR 97330-5223 Ph: (541) 766-6385 |
| NPI Number | 1932161361 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 09/30/2019 |
| Medicare PECOS PAC ID | 6709858020 |
|---|---|
| Medicare Enrollment ID | O20040813000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932161361 | NPI | - | NPPES |
| RP0002882CS | Other | OR | LICENSE |
| 3845053 | Other | OR | NCPDP |
| RP-0002882-CS | Other | OR | OR PHARMACY LICENSE |
| 700228501 | Other | REGENCE BCBS | |
| 043047 | Medicaid | OR | |
| 039328000 | Other | REGENCE BCBS | |
| 227701 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 227701 (Oregon) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Secondary |
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