Canyon Creek Clinic in John Day, OR - Medicare Clinic/Center

Canyon Creek Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in John Day, Oregon. The current practice location for Canyon Creek Clinic is 235 S Canyon Blvd, John Day, Oregon. For appointments, you can reach them via phone at (541) 575-1263. The mailing address for Canyon Creek Clinic is 235 S Canyon Blvd, John Day, Oregon and phone number is (541) 575-1263.

Canyon Creek Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356952048. 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) 575-1263.

Contact Information

	Canyon Creek Clinic
	235 S Canyon Blvd John Day OR 97845-1044
	(541) 575-1263
	(541) 575-0233

Map and Direction

Primary Care Clinic Profile

Full Name	Canyon Creek Clinic
Speciality	Clinic/Center
Location	235 S Canyon Blvd, John Day, Oregon
Authorized Official Name and Position	Shawna Clark (PRESIDENT)
Authorized Official Contact	5415751263
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Canyon Creek Clinic 235 S Canyon Blvd John Day OR 97845-1044 Ph: (541) 575-1263	Canyon Creek Clinic 235 S Canyon Blvd John Day OR 97845-1044 Ph: (541) 575-1263

NPI Details:

NPI Number	1356952048
Provider Enumeration Date	08/14/2020
Last Update Date	06/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4284054917
Medicare Enrollment ID	O20201020000657

Medical Identifiers

Medical identifiers for Canyon Creek Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356952048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Canyon Creek Clinic acts as a billing entity for following providers:

Provider Name	Shawna Arlene Clark
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1962798793 PECOS PAC ID: 8628248655 Enrollment ID: I20110831000476

Reviews and Comments

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Canyon Creek Clinic - Medicare Primary Care in John Day, OR