| Klamath Tribal Health & Family Services | |
|
330 Chiloquin Blvd Chiloquin OR 97624 | |
| (541) 783-2438 | |
| (541) 783-3273 |
| Full Name | Klamath Tribal Health & Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 Chiloquin Blvd, Chiloquin, Oregon |
| Authorized Official Name and Position | Nikowa Nicole Mendez (COMPLIANCE ADMINISTRATOR) |
| Authorized Official Contact | 5418821487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Klamath Tribal Health & Family Services 3949 South 6th Street Klamath Falls OR 97603-4746 Ph: (541) 882-1487 | Klamath Tribal Health & Family Services 330 Chiloquin Blvd Chiloquin OR 97624 Ph: (541) 783-2438 |
| NPI Number | 1629078274 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 9032027206 |
|---|---|
| Medicare Enrollment ID | O20021205000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629078274 | NPI | - | NPPES |
| 129861 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Chiloquin Family Practice Inc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 Ranch Rd, Chiloquin, OR 97624 Phone: 541-783-3412 Fax: 541-783-3412 | |
Klamath Health Partnership Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Wasco Ave, Chiloquin, OR 97624 Phone: 541-783-2292 Fax: 541-783-3160 | |
Klamath Tribal Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Chiloquin Boulevard, Chiloquin, OR 97624 Phone: 541-783-2438 Fax: 541-783-3554 |