| |
500 Ne A St Ste 101 Madras OR 97741-1842 | |
(541) 383-3005 | |
(541) 383-1883 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 500 Ne A St Ste 101, Madras, 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 | 500 Ne A St Ste 101 Madras OR 97741-1842 Ph: (541) 383-3005 |
NPI Number | 1457900011 |
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Provider Enumeration Date | 09/06/2019 |
Last Update Date | 04/19/2023 |
Identifier | Type | State | Issuer |
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1457900011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Physician Management Services Of Oregon, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 888-829-8550 | |
Madras Medical Group P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 Fax: 541-475-3503 | |