| |
2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 | |
(541) 419-1607 | |
(541) 383-1883 |
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 | Megan Haase (CEO) |
Authorized Official Contact | 5413833005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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600 Sw Columbia St Suite 6210 Bend OR 97702-1099 Ph: (541) 323-3181 | 2065 Ne Tucson Way Apt 110 Bend OR 97701-5182 Ph: (541) 419-1607 |
NPI Number | 1710328992 |
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Provider Enumeration Date | 07/16/2013 |
Last Update Date | 04/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710328992 | NPI | - | NPPES |
182960 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 | |