| Providence Seaside Hospital, Providence Warrenton Clinic | |
|
171 S Highway 101 Warrenton OR 97146 | |
| (503) 717-7000 | |
| Not Available |
| Full Name | Providence Seaside Hospital, Providence Warrenton Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 171 S Highway 101, Warrenton, Oregon |
| Authorized Official Name and Position | Donald Anderson (ASST SEC FOR CORP ENROLLMENTS) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Seaside Hospital, Providence Warrenton Clinic Po Box 3397 Portland OR 97208-3397 Ph: (503) 893-7120 | Providence Seaside Hospital, Providence Warrenton Clinic 171 S Highway 101 Warrenton OR 97146 Ph: (503) 717-7000 |
| NPI Number | 1972039170 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 05/15/2018 |
| Medicare PECOS PAC ID | 1557260106 |
|---|---|
| Medicare Enrollment ID | O20170706001783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972039170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Safe Harbor Pediatrics Rural Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Se Marlin Ave, Warrenton, OR 97146 Phone: 503-861-7777 Fax: 503-861-7771 | |
Cmh Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146 Phone: 503-338-4500 Fax: 503-338-4501 | |
Cmh Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146 Phone: 503-338-4500 Fax: 503-338-4501 |