Cmh Primary Care Clinic | |
1639 Se Ensign Ln Suite B103 Warrenton OR 97146-7308 | |
(503) 338-4500 | |
(503) 338-4501 |
Full Name | Cmh Primary Care Clinic |
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Speciality | Clinic/Center |
Location | 1639 Se Ensign Ln, Warrenton, Oregon |
Authorized Official Name and Position | Stephanie Brenden (CFO) |
Authorized Official Contact | 5033254321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cmh Primary Care Clinic 2111 Exchange St Astoria OR 97103-3329 Ph: (503) 338-4500 | Cmh Primary Care Clinic 1639 Se Ensign Ln Suite B103 Warrenton OR 97146-7308 Ph: (503) 338-4500 |
NPI Number | 1033469663 |
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Provider Enumeration Date | 09/11/2012 |
Last Update Date | 08/06/2015 |
Medicare PECOS PAC ID | 5294643359 |
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Medicare Enrollment ID | O20130711000616 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033469663 | NPI | - | NPPES |
388515 | Other | OR | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Safe Harbor Pediatrics Rural Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Se Marlin Ave, Warrenton, OR 97146 Phone: 503-861-7777 Fax: 503-861-7771 | |
Cmh Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146 Phone: 503-338-4500 Fax: 503-338-4501 | |
Providence Seaside Hospital, Providence Warrenton Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 S Highway 101, Warrenton, OR 97146 Phone: 503-717-7000 |