| Praxis Health, Pc | |
|
2011 Fourth St. La Grande OR 97850 | |
| (541) 963-4139 | |
| (541) 429-6612 |
| Full Name | Praxis Health, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2011 Fourth St., La Grande, 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 |
|---|---|
| Praxis Health, Pc Po Box 1517 Pendleton OR 97801-0410 Ph: (877) 708-1119 | Praxis Health, Pc 2011 Fourth St. La Grande OR 97850 Ph: (541) 963-4139 |
| NPI Number | 1336749621 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 8325941446 |
|---|---|
| Medicare Enrollment ID | O20210105001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336749621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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