| Holmes Family Care | |
|
2564 Nw Edenbower Blvd, Suite 126 Roseburg OR 97471 | |
| (541) 672-7718 | |
| Not Available |
| Full Name | Holmes Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2564 Nw Edenbower Blvd, Suite 126, Roseburg, Oregon |
| Authorized Official Name and Position | Heather Holmes (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5416727718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holmes Family Care 2564 Nw Edenbower Blvd, Suite 126 Roseburg OR 97471 Ph: (541) 672-7718 | Holmes Family Care 2564 Nw Edenbower Blvd, Suite 126 Roseburg OR 97471 Ph: (541) 672-7718 |
| NPI Number | 1972173235 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 4183011000 |
|---|---|
| Medicare Enrollment ID | O20220425000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972173235 | NPI | - | NPPES |
| 500803863 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Heather R Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124339544 PECOS PAC ID: 8628299484 Enrollment ID: I20141020000788 |
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