| Sandy Health Clinic | |
|
37400 Se Bell Street Sandy OR 97055 | |
| (503) 668-3483 | |
| (503) 668-1892 |
| Full Name | Sandy Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 37400 Se Bell Street, Sandy, Oregon |
| Authorized Official Name and Position | Sarah Jacobson (DIRECTOR - INTERIM) |
| Authorized Official Contact | 5032011890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Health Clinic 2051 Kaen Rd Suite 367 Oregon City OR 97045-4035 Ph: (503) 742-5300 | Sandy Health Clinic 37400 Se Bell Street Sandy OR 97055 Ph: (503) 668-3483 |
| NPI Number | 1043566847 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 9537065560 |
|---|---|
| Medicare Enrollment ID | O20130502000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043566847 | NPI | - | NPPES |
| 031799 | Medicaid | OR | |
| 131607 | Medicaid | OR | |
| 022710 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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