Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1400 Division St, Elgin, Oregon |
Authorized Official Name and Position | Kim R Montee (MEDICAL DIRECTOR) |
Authorized Official Contact | 5415626180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 605 142 East Dearborn Union OR 97883-0605 Ph: (541) 562-6180 | 1400 Division St Elgin OR 97827 Ph: (541) 437-6321 |
NPI Number | 1144496241 |
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Provider Enumeration Date | 05/08/2008 |
Last Update Date | 02/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144496241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 087000017N1 (Oregon) | Primary |