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4480 Highway 101 Ste G Florence OR 97439-8831 | |
(458) 215-2185 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 4480 Highway 101 Ste G, Florence, Oregon |
Authorized Official Name and Position | Erica Hauser (CFO) |
Authorized Official Contact | 3125905372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4858 Portland OR 97208-4858 Ph: () - | 4480 Highway 101 Ste G Florence OR 97439-8831 Ph: (458) 215-2185 |
NPI Number | 1740896547 |
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Provider Enumeration Date | 09/17/2020 |
Last Update Date | 06/29/2022 |
Identifier | Type | State | Issuer |
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1740896547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wellspring Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Highway 126 Ste H, Florence, OR 97439 Phone: 541-902-8860 | |
Monarch Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2775 Hwy 101, Suite B, Florence, OR 97439 Phone: 541-465-3966 Fax: 541-465-3967 | |