| Providence St Vincent Heart Clinic Heart Rhythm Springfield | |
|
960 N 16th St Suite 304 Springfield OR 97477-4175 | |
| (541) 744-6172 | |
| Not Available |
| Full Name | Providence St Vincent Heart Clinic Heart Rhythm Springfield |
|---|---|
| Speciality | Clinic/center |
| Location | 960 N 16th St, Springfield, Oregon |
| Authorized Official Name and Position | Keenan B Freeman (CFO) |
| Authorized Official Contact | 5038936524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence St Vincent Heart Clinic Heart Rhythm Springfield Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence St Vincent Heart Clinic Heart Rhythm Springfield 960 N 16th St Suite 304 Springfield OR 97477-4175 Ph: (541) 744-6172 |
| NPI Number | 1336459460 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336459460 | NPI | - | NPPES |
| 500630280 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 |