Merrill Clinic | |
125 N Lincoln St Merrill OR 97633-1030 | |
(541) 798-5074 | |
(541) 798-5076 |
Full Name | Merrill Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 125 N Lincoln St, Merrill, Oregon |
Authorized Official Name and Position | Michael Aaron Sheets (OWNER OPERATOR) |
Authorized Official Contact | 5417985074 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Merrill Clinic 125 N Lincoln St Merrill OR 97633 Ph: (541) 798-5074 | Merrill Clinic 125 N Lincoln St Merrill OR 97633-1030 Ph: (541) 798-5074 |
NPI Number | 1982606158 |
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Provider Enumeration Date | 06/01/2005 |
Last Update Date | 12/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982606158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 93006519 (Oregon) | Primary |
The Bonanza Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 North Lincoln Street, Merrill, OR 97633 Phone: 541-798-5074 Fax: 541-798-5076 |