Complete Integrative Care, Llc | |
3156 State St Medford OR 97504-8450 | |
(541) 773-5772 | |
(541) 773-1113 |
Full Name | Complete Integrative Care, Llc |
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Speciality | Family Medicine |
Location | 3156 State St, Medford, Oregon |
Authorized Official Name and Position | Melissa Carrigan (LEAD BILLING SPECIALIST) |
Authorized Official Contact | 5417739770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Complete Integrative Care, Llc 3156 State St Medford OR 97504-8450 Ph: (541) 773-5772 | Complete Integrative Care, Llc 3156 State St Medford OR 97504-8450 Ph: (541) 773-5772 |
NPI Number | 1073061099 |
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Provider Enumeration Date | 09/19/2016 |
Last Update Date | 03/24/2022 |
Medicare PECOS PAC ID | 0244510261 |
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Medicare Enrollment ID | O20161209000369 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073061099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Susan K Preslar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558462507 PECOS PAC ID: 3678563798 Enrollment ID: I20040512001135 |
Provider Name | Sarah A Roberson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275641730 PECOS PAC ID: 1658370051 Enrollment ID: I20061213000088 |
Provider Name | Andrea Giachetti |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942670229 PECOS PAC ID: 1355644741 Enrollment ID: I20161209000772 |
Provider Name | Molly Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265028625 PECOS PAC ID: 8820402498 Enrollment ID: I20210122002431 |
Provider Name | Denise Mao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922588011 PECOS PAC ID: 2860884046 Enrollment ID: I20220120001074 |
Provider Name | Audrey Mae Heath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104338268 PECOS PAC ID: 2466713987 Enrollment ID: I20230623001229 |
Rogue Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Medford, OR 97504 Phone: 541-842-7705 Fax: 541-842-7640 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Juanipero Way, Medford, OR 97504 Phone: 541-858-8170 Fax: 541-858-8167 | |