| Lancaster Family Health Center At Lancaster | |
|
255 Lancaster Dr Ne Salem OR 97301-5155 | |
| (509) 865-6175 | |
| Not Available |
| Full Name | Lancaster Family Health Center At Lancaster |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 255 Lancaster Dr Ne, Salem, Oregon |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Family Health Center At Lancaster Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | Lancaster Family Health Center At Lancaster 255 Lancaster Dr Ne Salem OR 97301-5155 Ph: (509) 865-6175 |
| NPI Number | 1467995852 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467995852 | NPI | - | NPPES |
| 1265764-95 | Other | OR | BUSINESS REGISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1265764-95 (Oregon) | Primary |
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