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825 Nw Highway 101 Ste A Lincoln City OR 97367-3241 | |
(541) 996-7480 | |
(541) 557-6439 |
Full Name | |
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Speciality | Clinic/Center |
Location | 825 Nw Highway 101 Ste A, Lincoln City, Oregon |
Authorized Official Name and Position | Lesley J. Ogden (CEO) |
Authorized Official Contact | 5419967100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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825 Nw Highway 101 Ste A Lincoln City OR 97367-3241 Ph: (541) 996-7480 | 825 Nw Highway 101 Ste A Lincoln City OR 97367-3241 Ph: (541) 996-7480 |
NPI Number | 1396893327 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 04/13/2017 |
Medicare PECOS PAC ID | 7911816301 |
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Medicare Enrollment ID | O20040525001679 |
Identifier | Type | State | Issuer |
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1396893327 | NPI | - | NPPES |
213076 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Oregon) | Primary |
Samaritan North Lincoln Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 28th St, Lincoln City, OR 97367 Phone: 541-768-7900 | |