| White Mountain Health Center | |
|
550 Wilson Way White City OR 97503-1351 | |
| (541) 830-6315 | |
| (541) 830-6751 |
| Full Name | White Mountain Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 Wilson Way, White City, Oregon |
| Authorized Official Name and Position | Calisa N Warnke (CFO) |
| Authorized Official Contact | 5418427642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Health Center 550 Wilson Way White City OR 97503-1351 Ph: (541) 830-6315 | White Mountain Health Center 550 Wilson Way White City OR 97503-1351 Ph: (541) 830-6315 |
| NPI Number | 1740733286 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 1557266236 |
|---|---|
| Medicare Enrollment ID | O20170417000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740733286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
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