| Newport Sbhc | |
|
322 Ne Eads St Newport OR 97365-2819 | |
| (541) 265-8628 | |
| Not Available |
| Full Name | Newport Sbhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 322 Ne Eads St, Newport, Oregon |
| Authorized Official Name and Position | Lesa Wagner (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5412650445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Sbhc 36 Sw Nye St Newport OR 97365-3821 Ph: (541) 265-0468 | Newport Sbhc 322 Ne Eads St Newport OR 97365-2819 Ph: (541) 265-8628 |
| NPI Number | 1932435377 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 04/07/2023 |
| Medicare PECOS PAC ID | 3375439862 |
|---|---|
| Medicare Enrollment ID | O20060921000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932435377 | NPI | - | NPPES |
| 213144 | Medicaid | OR |
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