| Prevention Plus Clinic | |
|
1800 Centennial Blvd Suite #6 Springfield OR 97477-4385 | |
| (541) 726-2179 | |
| Not Available |
| Full Name | Prevention Plus Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Centennial Blvd, Springfield, Oregon |
| Authorized Official Name and Position | Alison Erde (SOLE MEMBER) |
| Authorized Official Contact | 5417261865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention Plus Clinic 1800 Centennial Blvd 6 Springfield OR 97477-4385 Ph: (541) 726-2179 | Prevention Plus Clinic 1800 Centennial Blvd Suite #6 Springfield OR 97477-4385 Ph: (541) 726-2179 |
| NPI Number | 1508190661 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 10/26/2009 |
| Medicare PECOS PAC ID | 4789723115 |
|---|---|
| Medicare Enrollment ID | O20091125000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508190661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD23479 (Oregon) | Primary |
| Provider Name | Alison J Erde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760434385 PECOS PAC ID: 2567449879 Enrollment ID: I20040706000369 |
| Provider Name | Wendy I Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336176643 PECOS PAC ID: 5597784058 Enrollment ID: I20051115000242 |
| Provider Name | Jacqueline Fennerty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992871495 PECOS PAC ID: 1254435076 Enrollment ID: I20070403000383 |
Eyecare Focus And Specialties Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 J St, Springfield, OR 97477 Phone: 541-726-5055 Fax: 541-747-5440 | |
G Street Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 G St, Springfield, OR 97477 Phone: 541-735-9420 Fax: 541-747-9420 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Centennial Blvd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-284-5534 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2280 Marcola Rd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 | |
Larry A. Jackson, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd, Suite 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 | |
J Beverly Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 18th St Ste 6, Springfield, OR 97477 Phone: 541-517-3970 Fax: 458-201-8188 | |
Dr Richard F Erpelding Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd Ste 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 |