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4969 Highway 101 Florence OR 97439-7803 | |
(541) 344-2632 | |
(541) 344-6519 |
Full Name | |
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Speciality | Clinic/center - Family Planning, Non-surgical |
Location | 4969 Highway 101, Florence, Oregon |
Authorized Official Name and Position | Kelly Hall (DIRECTOR OF PATIENT SERVICES) |
Authorized Official Contact | 5413442632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3579 Franklin Blvd Eugene OR 97403-2356 Ph: (541) 344-2632 | 4969 Highway 101 Florence OR 97439-7803 Ph: (541) 344-2632 |
NPI Number | 1245360361 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 08/01/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245360361 | NPI | - | NPPES |
320332 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD21490 (Oregon) | Secondary |
261QF0050X | Clinic/center - Family Planning, Non-surgical | MD12242 (Oregon) | Primary |
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 | |