| Mitchell School - Field Office | |
|
712 Jay St Fossil OR 97830-0307 | |
| (541) 763-2725 | |
| (541) 763-2850 |
| Full Name | Mitchell School - Field Office |
|---|---|
| Speciality | Clinic/Center |
| Location | 712 Jay St, Fossil, Oregon |
| Authorized Official Name and Position | James Carlson (ADMINISTRATOR) |
| Authorized Official Contact | 5417632725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell School - Field Office 712 Jay St Fossil OR 97830-0307 Ph: (541) 763-2725 | Mitchell School - Field Office 712 Jay St Fossil OR 97830-0307 Ph: (541) 763-2725 |
| NPI Number | 1598928004 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 2163460726 |
|---|---|
| Medicare Enrollment ID | O20051003000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598928004 | NPI | - | NPPES |
| 276319 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Achc-christmas Valley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Jay St, Fossil, OR 97830 Phone: 541-763-2725 Fax: 833-601-2016 | |
Asher Clinic Spray Field Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Jay St, Fossil, OR 97830 Phone: 541-763-2725 Fax: 541-763-2850 | |
Asher Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Jay St., Fossil, OR 97830 Phone: 541-763-2725 Fax: 541-763-2850 |