| |
2158 Exchange St Suite 304 Astoria OR 97103-3316 | |
(503) 325-8315 | |
(503) 325-8602 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2158 Exchange St, Astoria, Oregon |
Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
Authorized Official Contact | 5098656175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | 2158 Exchange St Suite 304 Astoria OR 97103-3316 Ph: (503) 325-8315 |
NPI Number | 1316484165 |
---|---|
Provider Enumeration Date | 01/31/2017 |
Last Update Date | 11/02/2022 |
Medicare PECOS PAC ID | 4385541986 |
---|---|
Medicare Enrollment ID | O20200924001599 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316484165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Thomas S. Duncan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 18th St, Astoria, OR 97103 Phone: 503-325-9131 Fax: 888-371-4110 | |
North Coast Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Commercial St Ste 103, Astoria, OR 97103 Phone: 503-568-7497 | |
Pacific Family Medicine Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Exchange St, Ste 190, Astoria, OR 97103 Phone: 503-325-5300 Fax: 503-325-5400 |