Full Name | |
---|---|
Speciality | General Acute Care Hospital |
Location | 400 9th St, Florence, Oregon |
Authorized Official Name and Position | Debbie A Rodet (ADMINISTRATIVE ASST) |
Authorized Official Contact | 5419026140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 569 Eugene OR 97440-0569 Ph: (541) 686-7191 | 400 9th St Florence OR 97439-7398 Ph: (541) 686-7191 |
NPI Number | 1578552402 |
---|---|
Provider Enumeration Date | 10/13/2005 |
Last Update Date | 02/27/2013 |
Medicare PECOS PAC ID | 4587573001 |
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Medicare Enrollment ID | O20061104000179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578552402 | NPI | - | NPPES |
000195 | Medicaid | OR | |
1982774378 | Other | OR | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 140711 (Oregon) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | 140711 (Oregon) | Primary |
Provider Name | Brigitte D Fink |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699716480 PECOS PAC ID: 7911893664 Enrollment ID: I20040227000544 |
Provider Name | William Strek |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447228085 PECOS PAC ID: 5597751917 Enrollment ID: I20040421001769 |
Provider Name | Sharon H Flynn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184694812 PECOS PAC ID: 3779563606 Enrollment ID: I20040722000009 |
Provider Name | Leo Cytrynbaum |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1659341386 PECOS PAC ID: 1951381888 Enrollment ID: I20040722000020 |
Provider Name | Scott C Williams |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497794127 PECOS PAC ID: 0244201473 Enrollment ID: I20040803000230 |
Provider Name | Emily S Downing Moore |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20050608000042 |
Provider Name | Julie C Scalisi |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1396773032 PECOS PAC ID: 4486660537 Enrollment ID: I20060227000327 |
Provider Name | Sarah A Kooienga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457456212 PECOS PAC ID: 6103922893 Enrollment ID: I20070425000624 |
Provider Name | Ryan Garrett |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1114149390 PECOS PAC ID: 5799719266 Enrollment ID: I20080128000523 |
Provider Name | Margaret R Pattison |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346455524 PECOS PAC ID: 8729138540 Enrollment ID: I20090616000505 |
Provider Name | Jeffrey R Salerno |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235306051 PECOS PAC ID: 7517018252 Enrollment ID: I20090619000384 |
Provider Name | Patrick G Tandingan |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1992859623 PECOS PAC ID: 5193871689 Enrollment ID: I20090924000664 |
Provider Name | Kimberly A Bock |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821060591 PECOS PAC ID: 4385770650 Enrollment ID: I20100326000259 |
Provider Name | Corey B Kahn |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548337801 PECOS PAC ID: 5294922498 Enrollment ID: I20101214001075 |
Provider Name | Audrey C Shank |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912201062 PECOS PAC ID: 7618158692 Enrollment ID: I20110223001146 |
Provider Name | Mallik N Tella |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649380395 PECOS PAC ID: 1153591706 Enrollment ID: I20110908002357 |
Provider Name | Colette A Khan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720241458 PECOS PAC ID: 0345419644 Enrollment ID: I20120910000060 |
Provider Name | Jordan Marie Raymer |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1003071580 PECOS PAC ID: 8022251222 Enrollment ID: I20130906000262 |
Provider Name | Saman Selahi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174750335 PECOS PAC ID: 8224288295 Enrollment ID: I20140207001062 |
Provider Name | Grace Hercl |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376640011 PECOS PAC ID: 1850397506 Enrollment ID: I20140523000392 |
Provider Name | Brenda Smith |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1861574824 PECOS PAC ID: 5890019632 Enrollment ID: I20150126002317 |
Provider Name | Christine Huang |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1457514903 PECOS PAC ID: 7416112420 Enrollment ID: I20150417001893 |
Provider Name | Bianca J Jacobs |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1760745848 PECOS PAC ID: 6608180468 Enrollment ID: I20150806012370 |
Provider Name | John M Malleis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144511643 PECOS PAC ID: 7315183910 Enrollment ID: I20151223000525 |
Provider Name | Alice So |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407968431 PECOS PAC ID: 0345345781 Enrollment ID: I20160201001308 |
Provider Name | Jeremy T Brown |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073957148 PECOS PAC ID: 7416259452 Enrollment ID: I20160803000849 |
Provider Name | Katherine F Ready |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609139062 PECOS PAC ID: 8527289305 Enrollment ID: I20171003005245 |
Provider Name | Kathleen Rubio |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629484472 PECOS PAC ID: 4880960012 Enrollment ID: I20171214002920 |
Provider Name | Nathan A Garton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154764751 PECOS PAC ID: 8820384571 Enrollment ID: I20171221002699 |
Provider Name | Mark Schuchman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20180531002299 |
Provider Name | Chen-wen C Heh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20180721000132 |
Provider Name | Sydney Marie Lefay |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801215249 PECOS PAC ID: 7113216193 Enrollment ID: I20181029001864 |
Provider Name | Ossama Al Masalmeh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20190620000506 |
Provider Name | Dennis Patrick Grusenmeyer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20190621002037 |
Provider Name | Patrick G Hudson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1831573906 PECOS PAC ID: 7315248317 Enrollment ID: I20190729001436 |
Provider Name | Mary Carroll Francis Lee |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184003279 PECOS PAC ID: 3779890611 Enrollment ID: I20190820002285 |
Provider Name | Rachel L Zubko |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578737342 PECOS PAC ID: 7012189889 Enrollment ID: I20190909003266 |
Provider Name | Ashley L St Germain |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174919120 PECOS PAC ID: 5092018671 Enrollment ID: I20190913002399 |
Provider Name | Honora R Considine-cortelyou |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1821351909 PECOS PAC ID: 2961722814 Enrollment ID: I20191115002114 |
Provider Name | Inga Giske |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20200518000683 |
Provider Name | Brian Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20210524000565 |
Provider Name | Jonas I Pologe |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366806382 PECOS PAC ID: 8426394040 Enrollment ID: I20210721003296 |
Provider Name | Arissa R Walberg |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891185286 PECOS PAC ID: 2062709660 Enrollment ID: I20210723003226 |
Provider Name | Maura Munoz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20210813000754 |
Provider Name | Joel Valencia |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1538695788 PECOS PAC ID: 1254682685 Enrollment ID: I20211129002300 |
Provider Name | Sara Covey Flores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477161453 PECOS PAC ID: 9638563620 Enrollment ID: I20220309000788 |
Provider Name | Jon W Ahlstrom |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437146065 PECOS PAC ID: 9537067103 Enrollment ID: I20220412000739 |
Provider Name | Nicholas D Crall |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20220421001341 |
Provider Name | Julie Tenbrook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20220425002464 |
Provider Name | Liza Rodriguez Jimenez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1346222049 PECOS PAC ID: 1456315563 Enrollment ID: I20220428000446 |
Provider Name | Patrick E Kelly |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1134655855 PECOS PAC ID: 9739561358 Enrollment ID: I20220728003727 |
Provider Name | Reena Baharani |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659631950 PECOS PAC ID: 5395018865 Enrollment ID: I20220803001505 |
Provider Name | Saman Selahi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174750335 PECOS PAC ID: 8224288295 Enrollment ID: I20220822003175 |
Provider Name | Jordan R Chick |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477015436 PECOS PAC ID: 7719361617 Enrollment ID: I20220825003960 |
Provider Name | Maximilian Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699206193 PECOS PAC ID: 4284961525 Enrollment ID: I20221017001868 |
Provider Name | John Mckenna |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316333610 PECOS PAC ID: 0345530465 Enrollment ID: I20221021000831 |
Provider Name | Jai Jung |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1841723541 PECOS PAC ID: 5890101802 Enrollment ID: I20230202001140 |
Provider Name | Byron Patrick Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538819990 PECOS PAC ID: 2264804244 Enrollment ID: I20230221002612 |
Provider Name | Sadie Harmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467167098 PECOS PAC ID: 4183099120 Enrollment ID: I20230405001740 |
Provider Name | Janette Coelho Leal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992090708 PECOS PAC ID: 4981844305 Enrollment ID: I20230523002747 |
Provider Name | Kodjovi Kodjo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230607001792 |
Provider Name | Deborah A Suggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801529888 PECOS PAC ID: 1355701582 Enrollment ID: I20230719000834 |
Provider Name | John Stanger |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598290900 PECOS PAC ID: 1557722501 Enrollment ID: I20230807002918 |
Provider Name | Jose Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230824002628 |
Provider Name | Lisa Diane Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336804277 PECOS PAC ID: 2567825375 Enrollment ID: I20230828000615 |
Provider Name | Ezra J Harmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144932997 PECOS PAC ID: 9234592726 Enrollment ID: I20230831001018 |
Provider Name | Vincent Michael Huntsberger |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902065204 PECOS PAC ID: 2769635341 Enrollment ID: I20230905002320 |
Provider Name | Kristina C Hardy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659749471 PECOS PAC ID: 5890003271 Enrollment ID: I20230919003674 |
Provider Name | Hershenta Cohen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619466844 PECOS PAC ID: 6204213325 Enrollment ID: I20231018001778 |
Provider Name | Emily S Downing Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20231026004152 |
Provider Name | Nadia Swanson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902093925 PECOS PAC ID: 2860540754 Enrollment ID: I20231108001925 |
Provider Name | Jeffry Jacobs |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063477545 PECOS PAC ID: 7113961012 Enrollment ID: I20231222002631 |
Provider Name | Omar Naji |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20240129003824 |
Provider Name | Daniel Mattox |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184203283 PECOS PAC ID: 6608230008 Enrollment ID: I20240711003677 |
Provider Name | Aaron Drees |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1780381459 PECOS PAC ID: 6507220779 Enrollment ID: I20240711004166 |
Provider Name | Joshua Varghese |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144802109 PECOS PAC ID: 7517402340 Enrollment ID: I20240716003348 |
Provider Name | Ian Dobbe |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710337381 PECOS PAC ID: 0143554394 Enrollment ID: I20240823001218 |
Provider Name | Richard Smith |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316208382 PECOS PAC ID: 0547552580 Enrollment ID: I20240906002824 |
Provider Name | Richard Haycock |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326443417 PECOS PAC ID: 1759638919 Enrollment ID: I20240909001118 |
Provider Name | Ashley Marrissa Penington |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1558940874 PECOS PAC ID: 1850794082 Enrollment ID: I20240909003842 |
Provider Name | Yanting Rambow |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1285207373 PECOS PAC ID: 9537565767 Enrollment ID: I20240909004684 |
Provider Name | Warren King |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1154485753 PECOS PAC ID: 6305911413 Enrollment ID: I20240919000124 |
Provider Name | Elizabeth Uzoma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326542523 PECOS PAC ID: 2062745268 Enrollment ID: I20241022004952 |
Provider Name | Wade C Vansice |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467625756 PECOS PAC ID: 3678752565 Enrollment ID: I20241118003885 |
Wellspring Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Highway 126 Ste H, Florence, OR 97439 Phone: 541-902-8860 | |
Monarch Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2775 Hwy 101, Suite B, Florence, OR 97439 Phone: 541-465-3966 Fax: 541-465-3967 | |