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1040 Webber St The Dalles OR 97058-3749 | |
(541) 296-4610 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1040 Webber St, The Dalles, Oregon |
Authorized Official Name and Position | Belinda Elaine Batcha (CFO) |
Authorized Official Contact | 5413088363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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849 Pacific Ave Hood River OR 97031-1956 Ph: (541) 386-6380 | 1040 Webber St The Dalles OR 97058-3749 Ph: (541) 296-4610 |
NPI Number | 1093870990 |
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Provider Enumeration Date | 12/22/2006 |
Last Update Date | 10/01/2024 |
Medicare PECOS PAC ID | 6305759283 |
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Medicare Enrollment ID | O20101019000249 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093870990 | NPI | - | NPPES |
1033269204 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mid-columbia Health Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Columbia River Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E 12th St, Suite 100, The Dalles, OR 97058 Phone: 541-296-1919 Fax: 541-296-2253 |