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2870 Ne West Devils Lake Rd Lincoln City OR 97367-5127 | |
(541) 994-9191 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2870 Ne West Devils Lake Rd, 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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2870 Ne West Devils Lake Rd Lincoln City OR 97367-5127 Ph: (541) 994-9191 | 2870 Ne West Devils Lake Rd Lincoln City OR 97367-5127 Ph: (541) 994-9191 |
NPI Number | 1568742658 |
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Provider Enumeration Date | 08/22/2011 |
Last Update Date | 03/11/2016 |
Medicare PECOS PAC ID | 7911816301 |
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Medicare Enrollment ID | O20141117000459 |
Identifier | Type | State | Issuer |
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1568742658 | NPI | - | NPPES |
500651459 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 141456 (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 | |