Providence Health & Services - Oregon | |
870 S Front St Suite 200 Central Point OR 97502-2779 | |
(541) 732-8000 | |
(541) 732-3404 |
Full Name | Providence Health & Services - Oregon |
---|---|
Speciality | Clinic/center |
Location | 870 S Front St, Central Point, Oregon |
Authorized Official Name and Position | Donald Wayne Anderson (ASST SECRETARY FOR ENROLLMENT) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Providence Health & Services - Oregon Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | Providence Health & Services - Oregon 870 S Front St Suite 200 Central Point OR 97502-2779 Ph: (541) 732-8000 |
NPI Number | 1609951649 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 04/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609951649 | NPI | - | NPPES |
288507 | Medicaid | OR | |
CG6801 | Other | OR | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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