Benton County Health Services | |
610 Dragon Dr Monroe OR 97456-9604 | |
(541) 847-5143 | |
(541) 847-5144 |
Full Name | Benton County Health Services |
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Speciality | Clinic/Center |
Location | 610 Dragon Dr, Monroe, Oregon |
Authorized Official Name and Position | Sherlyn Dahl (HEALTH CENTER DIRECTOR) |
Authorized Official Contact | 5417662131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Benton County Health Services Po Box 579 Corvallis OR 97339-0579 Ph: (541) 847-5143 | Benton County Health Services 610 Dragon Dr Monroe OR 97456-9604 Ph: (541) 847-5143 |
NPI Number | 1235299140 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 10/01/2019 |
Medicare PECOS PAC ID | 6709858020 |
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Medicare Enrollment ID | O20040813000656 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235299140 | NPI | - | NPPES |
700228501 | Other | REGENCE BCBS | |
227701 | Medicaid | OR | |
039328000 | Other | REGENCE BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |