Rch Hep C Program | |
900 E Main St Medford OR 97504-7136 | |
(541) 842-7704 | |
Not Available |
Full Name | Rch Hep C Program |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 900 E Main St, Medford, Oregon |
Authorized Official Name and Position | Calisa North (CFO) |
Authorized Official Contact | 5418427642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rch Hep C Program 19 Myrtle St Medford OR 97504-7337 Ph: () - | Rch Hep C Program 900 E Main St Medford OR 97504-7136 Ph: (541) 842-7704 |
NPI Number | 1578090221 |
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Provider Enumeration Date | 05/12/2017 |
Last Update Date | 10/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578090221 | NPI | - | NPPES |
500667341 | Medicaid | OR | |
227698 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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