Healthy Connections Hood River Llc | |
33 Nichols Pkwy # 300 Hood River OR 97031-3121 | |
(541) 716-5786 | |
(541) 716-4688 |
Full Name | Healthy Connections Hood River Llc |
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Speciality | Internal Medicine |
Location | 33 Nichols Pkwy # 300, Hood River, Oregon |
Authorized Official Name and Position | Jeff Horacek (PROVIDER/OWNER) |
Authorized Official Contact | 5417165786 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Connections Hood River Llc 33 Nichols Pkwy # 300 Hood River OR 97031-3121 Ph: (541) 716-5786 | Healthy Connections Hood River Llc 33 Nichols Pkwy # 300 Hood River OR 97031-3121 Ph: (541) 716-5786 |
NPI Number | 1306303979 |
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Provider Enumeration Date | 03/01/2019 |
Last Update Date | 03/01/2019 |
Medicare PECOS PAC ID | 3375884794 |
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Medicare Enrollment ID | O20190412001567 |
Identifier | Type | State | Issuer |
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1306303979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jeffrey J Horacek |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790721215 PECOS PAC ID: 4183619539 Enrollment ID: I20040416000220 |
Provider Name | Heather Bates |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376896423 PECOS PAC ID: 0244540516 Enrollment ID: I20220512002391 |
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