| Community Health Center Of Clatskanie | |
|
401 Sw Belair Dr Clatskanie OR 97016-7415 | |
| (503) 728-5088 | |
| (503) 728-5100 |
| Full Name | Community Health Center Of Clatskanie |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Sw Belair Dr, Clatskanie, 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 |
|---|---|
| Community Health Center Of Clatskanie Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | Community Health Center Of Clatskanie 401 Sw Belair Dr Clatskanie OR 97016-7415 Ph: (503) 728-5088 |
| NPI Number | 1578000345 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20231108003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578000345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |
Community Health Center At Clatskanie School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Sw Belair Dr, Clatskanie, OR 97016 Phone: 509-865-6175 | |
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 |