Dunes Family Health Care | |
620 Ranch Rd Reedsport OR 97467 | |
(541) 271-2163 | |
(541) 271-4058 |
Full Name | Dunes Family Health Care |
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Speciality | Clinic/Center |
Location | 620 Ranch Rd, Reedsport, Oregon |
Authorized Official Name and Position | Johnathon Chivers (CEO) |
Authorized Official Contact | 5412716313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dunes Family Health Care 600 Ranch Rd Reedsport OR 97467-1720 Ph: (541) 271-2171 | Dunes Family Health Care 620 Ranch Rd Reedsport OR 97467 Ph: (541) 271-2163 |
NPI Number | 1619900370 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 01/18/2023 |
Medicare PECOS PAC ID | 6800703562 |
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Medicare Enrollment ID | O20131018001008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619900370 | NPI | - | NPPES |
R0000ZGBKR | Other | OR | MEDICARE PART B PTAN |
276263 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lower Umpqua Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2119 |