| Community Health Center At Clatskanie School | |
|
471 Sw Belair Dr Clatskanie OR 97016-7415 | |
| (509) 865-6175 | |
| Not Available |
| Full Name | Community Health Center At Clatskanie School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 471 Sw Belair Dr, Clatskanie, Oregon |
| Authorized Official Name and Position | Juan C Olivares (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center At Clatskanie School Po Box 190 Toppenish WA 98948-0190 Ph: () - | Community Health Center At Clatskanie School 471 Sw Belair Dr Clatskanie OR 97016-7415 Ph: (509) 865-6175 |
| NPI Number | 1720519192 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720519192 | NPI | - | NPPES |
| 1307001-98 | Other | OR | REGISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Health Center Of Clatskanie Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Sw Belair Dr, Clatskanie, OR 97016 Phone: 503-728-5088 Fax: 503-728-5100 | |
Community Health Center Of Clatskanie Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Belair Dr, Clatskanie, OR 97016 Phone: 503-325-8315 Fax: 503-468-0193 | |
Clatskanie School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Sw Belair Dr, Clatskanie, OR 97016 Phone: 503-325-8315 Fax: 503-468-0193 | |
Clatskanie School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Sw Belair Dr, Clatskanie, OR 97016 Phone: 503-325-8315 Fax: 503-468-0193 |