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4940 Hamrick Road Central Point OR 97502-3072 | |
(541) 690-3600 | |
(541) 664-3735 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4940 Hamrick Road, Central Point, Oregon |
Authorized Official Name and Position | Brenda Irene Johnson (CEO) |
Authorized Official Contact | 5415123151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | 4940 Hamrick Road Central Point OR 97502-3072 Ph: (541) 690-3600 |
NPI Number | 1942503248 |
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Provider Enumeration Date | 12/09/2010 |
Last Update Date | 07/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942503248 | NPI | - | NPPES |
022868 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
La Clinica Del Valle Family Health Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 2nd St, Central Point, OR 97502 Phone: 541-535-6239 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St, Suite 200, Central Point, OR 97502 Phone: 541-732-8000 Fax: 541-732-3404 | |