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2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 | |
(541) 408-9486 | |
(541) 647-2793 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2065 Ne Tucson Way Apt 110, Bend, Oregon |
Authorized Official Name and Position | Bobbi Jolyne Surplus (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 5414089486 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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600 Sw Columbia St Ste 6210 Bend OR 97702-1099 Ph: (541) 408-9486 | 2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 Ph: (541) 408-9486 |
NPI Number | 1184273757 |
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Provider Enumeration Date | 09/06/2019 |
Last Update Date | 04/20/2023 |
Identifier | Type | State | Issuer |
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1184273757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pine Springs Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-330-9110 | |
Adam Derr, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 | |
Driven Enterprises Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930 | |