| Regional Medical Clinic | |
|
506 4th St La Grande OR 97850-1906 | |
| (541) 663-3138 | |
| Not Available |
| Full Name | Regional Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 506 4th St, La Grande, Oregon |
| Authorized Official Name and Position | James A Mattes (PRESIDENT/CEO) |
| Authorized Official Contact | 5419631454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Medical Clinic Po Box 3290 La Grande OR 97850-7290 Ph: (541) 663-3138 | Regional Medical Clinic 506 4th St La Grande OR 97850-1906 Ph: (541) 663-3138 |
| NPI Number | 1376939314 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 11/21/2016 |
| Medicare PECOS PAC ID | 0547170789 |
|---|---|
| Medicare Enrollment ID | O20150709003011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376939314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 140728 (Oregon) | Primary |
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