| Evergreen Elementary Sbhc | |
|
520 W River St Cave Junction OR 97523-9504 | |
| (541) 592-6491 | |
| (541) 592-6489 |
| Full Name | Evergreen Elementary Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 520 W River St, Cave Junction, Oregon |
| Authorized Official Name and Position | Richard Booth (CEO) |
| Authorized Official Contact | 5414713455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Elementary Sbhc 1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 Ph: (541) 471-3455 | Evergreen Elementary Sbhc 520 W River St Cave Junction OR 97523-9504 Ph: (541) 592-6491 |
| NPI Number | 1841438231 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841438231 | NPI | - | NPPES |
| 127725 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 127725 (Oregon) | Primary |
Cave Junction Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Palmer St, Cave Junction, OR 97523 Phone: 541-592-5099 Fax: 541-592-4636 | |
Siskiyou Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E River St, Cave Junction, OR 97523 Phone: 541-592-3749 Fax: 541-592-3749 | |
Siskiyou Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97531 Phone: 541-592-4111 | |
Siskiyou Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97531 Phone: 541-592-4111 Fax: 541-592-3916 | |
Lorna Byrne Middle School Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Junction Ave, Cave Junction, OR 97523 Phone: 541-592-6978 Fax: 541-592-6702 |