| Murphy Creek Wellness | |
|
1600 Delta Waters Rd Ste 105 Medford OR 97504-9114 | |
| (541) 690-1525 | |
| (541) 690-1527 |
| Full Name | Murphy Creek Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Delta Waters Rd Ste 105, Medford, Oregon |
| Authorized Official Name and Position | Karla Reinhart (OWNER LLC) |
| Authorized Official Contact | 5416901525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Murphy Creek Wellness 1600 Delta Waters Rd Ste 105 Medford OR 97504-9114 Ph: (541) 690-1525 | Murphy Creek Wellness 1600 Delta Waters Rd Ste 105 Medford OR 97504-9114 Ph: (541) 690-1525 |
| NPI Number | 1821628439 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 03/18/2020 |
| Medicare PECOS PAC ID | 1153751383 |
|---|---|
| Medicare Enrollment ID | O20200430001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821628439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Karla A Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245421726 PECOS PAC ID: 2163503509 Enrollment ID: I20080111000293 |
| Provider Name | Shannon Lee Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619741196 PECOS PAC ID: 2062859879 Enrollment ID: I20240328000014 |
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