| Klamath Health Partnership, Inc | |
|
2210 N Eldorado Ave Ste A Klamath Falls OR 97601-6418 | |
| (541) 883-1030 | |
| Not Available |
| Full Name | Klamath Health Partnership, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2210 N Eldorado Ave Ste A, Klamath Falls, Oregon |
| Authorized Official Name and Position | Jeana Masters (CPES) |
| Authorized Official Contact | 5418802011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klamath Health Partnership, Inc 2074 S 6th St Klamath Falls OR 97601-3372 Ph: (541) 880-2011 | Klamath Health Partnership, Inc 2210 N Eldorado Ave Ste A Klamath Falls OR 97601-6418 Ph: (541) 883-1030 |
| NPI Number | 1417411505 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417411505 | NPI | - | NPPES |
| 170061 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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