Glendale Community Primary Care | |
101 1st St Glendale OR 97442-9640 | |
(541) 832-5400 | |
Not Available |
Full Name | Glendale Community Primary Care |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 101 1st St, Glendale, Oregon |
Authorized Official Name and Position | Leona Marie Anderson (PRESIDENT) |
Authorized Official Contact | 5418325400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glendale Community Primary Care Po Box 293 Glendale OR 97442-0293 Ph: (541) 832-5400 | Glendale Community Primary Care 101 1st St Glendale OR 97442-9640 Ph: (541) 832-5400 |
NPI Number | 1114480399 |
---|---|
Provider Enumeration Date | 04/13/2019 |
Last Update Date | 08/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114480399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |