Southriver Medical Clinic Aka: Southriver Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Winston, Oregon. The current practice location for Southriver Medical Clinic Aka: Southriver Community Health Center is 671 Sw Main, Winston, Oregon. For appointments, you can reach them via phone at
(541) 492-4550. The mailing address for Southriver Medical Clinic Aka: Southriver Community Health Center is P.o Box 12, Winston, Oregon and phone number is (541) 492-4550.
Southriver Medical Clinic Aka: Southriver Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1912061755. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(541) 492-4550.
Primary Care Clinic Profile
| Full Name | Southriver Medical Clinic Aka: Southriver Community Health Center |
|---|
| Speciality | Clinic/Center |
|---|
| Location | 671 Sw Main, Winston, Oregon |
|---|
| Authorized Official Name and Position | Michelle M Watson (MANAGER) |
|---|
| Authorized Official Contact | 5414924550 |
|---|
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Southriver Medical Clinic Aka: Southriver Community Health Center
P.o Box 12
Winston
OR 97496-0012
Ph: (541) 492-4550 | Southriver Medical Clinic Aka: Southriver Community Health Center
671 Sw Main
Winston
OR 97496-0012
Ph: (541) 492-4550 |
NPI Details:
| NPI Number | 1912061755 |
|---|
| Provider Enumeration Date | 12/19/2006 |
|---|
| Last Update Date | 06/10/2019 |
|---|
Medicare PECOS Information:
| Medicare PECOS PAC ID | 4587662887 |
|---|
| Medicare Enrollment ID | O20091014000564 |
|---|
Medical Identifiers
Medical identifiers for Southriver Medical Clinic Aka: Southriver Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912061755 | NPI | - | NPPES |
| 007151 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 276245 (Oregon) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Reviews and Comments