| Canyonville Health And Urgent Care | |
|
115 S Pine St Canyonville OR 97417-9648 | |
| (541) 839-4211 | |
| (541) 839-4983 |
| Full Name | Canyonville Health And Urgent Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 S Pine St, Canyonville, Oregon |
| Authorized Official Name and Position | Kristie Debaca (OFFICE MANAGER) |
| Authorized Official Contact | 5413914053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyonville Health And Urgent Care Po Box 888 Canyonville OR 97417-0888 Ph: (541) 839-4211 | Canyonville Health And Urgent Care 115 S Pine St Canyonville OR 97417-9648 Ph: (541) 839-4211 |
| NPI Number | 1003210600 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 1254552839 |
|---|---|
| Medicare Enrollment ID | O20141023001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003210600 | NPI | - | NPPES |
| R141355 | Other | OR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD26035 (Oregon) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Anandita Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992775092 PECOS PAC ID: 0648359729 Enrollment ID: I20080430000477 |
| Provider Name | Donald L Bons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073946711 PECOS PAC ID: 1951525880 Enrollment ID: I20140617000504 |
| Provider Name | Rhonda M Darling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902340219 PECOS PAC ID: 4789967571 Enrollment ID: I20170201000697 |
Cow Creek Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Wartahoo Ln, Canyonville, OR 97417 Phone: 541-839-1345 Fax: 855-670-1791 | |
Cow Creek Health & Wellness Annex Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Gazley Bridge Rd, Canyonville, OR 97417 Phone: 541-839-1345 Fax: 855-670-1791 | |
Falk Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Sw Pine Street, Canyonville, OR 97417 Phone: 541-839-4211 Fax: 541-839-4983 |