is a medicare enrolled primary clinic (Clinic/center - Public Health, State Or Local) in Heppner, Oregon. The current practice location for
is 110 N Court St, Heppner, Oregon. For appointments, you can reach them via phone at (541) 676-5421. The mailing address for is Po Box 799, Heppner, Oregon and phone number is (541) 676-5421.
is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952302689. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (541) 676-5421.
Primary Care Clinic Profile
| Full Name | |
|---|
| Speciality | Clinic/Center |
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| Location | 110 N Court St, Heppner, Oregon |
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| Authorized Official Name and Position | Robin Canaday (PUBLIC HEALTH DIRECTOR) |
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| Authorized Official Contact | 5416765421 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Po Box 799
Heppner
OR 97836-0799
Ph: (541) 676-5421 |
110 N Court St
Heppner
OR 97836-7328
Ph: (541) 676-5421 |
NPI Details:
| NPI Number | 1952302689 |
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| Provider Enumeration Date | 08/03/2005 |
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| Last Update Date | 07/18/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3072416437 |
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| Medicare Enrollment ID | O20040202000124 |
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Medical Identifiers
Medical identifiers for
such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952302689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
| Provider Name | Emily J Jack |
|---|
| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1275197691
PECOS PAC ID: 6507193042
Enrollment ID: I20221115002877 |
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