| High Desert Healthcare | |
|
1251 Ne Elm Street Prineville OR 97754 | |
| (541) 447-1680 | |
| (541) 447-4670 |
| Full Name | High Desert Healthcare |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1251 Ne Elm Street, Prineville, Oregon |
| Authorized Official Name and Position | Michael E Knower (PRESIDENT) |
| Authorized Official Contact | 5414471680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Healthcare 1251 Ne Elm Street Prineville OR 97754 Ph: (541) 447-1680 | High Desert Healthcare 1251 Ne Elm Street Prineville OR 97754 Ph: (541) 447-1680 |
| NPI Number | 1477554921 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477554921 | NPI | - | NPPES |
| H3079 | Other | PACIFIC SOURCE | |
| GRP331 | Other | PROVIDENCE HEALTH PLANS | |
| CH6131 | Other | RAILROAD MEDICARE | |
| 213187 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | MD15601 (Oregon) | Primary |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Ne 1st Street, Prineville, OR 97754 Phone: 541-323-4272 Fax: 541-383-1883 | |
St. Charles Family Care - Prineville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 384 Se Combs Flat Rd, Suite 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724 | |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 541-408-9486 Fax: 541-647-2793 | |
Mosaic Medical Prineville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Nw Beaver St, Suite 101, Prineville, OR 97754 Phone: 541-447-0707 Fax: 541-383-1883 |