Praxis Health, Pc | |
531 Se Clay St Dallas OR 97338-2865 | |
(971) 612-6100 | |
(971) 612-6101 |
Full Name | Praxis Health, Pc |
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Speciality | Clinic/Center |
Location | 531 Se Clay St, Dallas, Oregon |
Authorized Official Name and Position | Jessica M Reagan (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 5419666136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Praxis Health, Pc Po Box 1517 Pendleton OR 97801-0410 Ph: (877) 708-1119 | Praxis Health, Pc 531 Se Clay St Dallas OR 97338-2865 Ph: (971) 612-6100 |
NPI Number | 1942925326 |
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Provider Enumeration Date | 10/07/2022 |
Last Update Date | 10/07/2022 |
Medicare PECOS PAC ID | 8325941446 |
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Medicare Enrollment ID | O20221027001656 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942925326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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