Sublimity Medical Clinic | |
114 Se Church St Sublimity OR 97385-9714 | |
(503) 769-2259 | |
(503) 769-8049 |
Full Name | Sublimity Medical Clinic |
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Speciality | Clinic/Center |
Location | 114 Se Church St, Sublimity, Oregon |
Authorized Official Name and Position | Maggie Hudson (COO/CFO) |
Authorized Official Contact | 5037699236 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sublimity Medical Clinic Po Box 886 Sublimity OR 97385-0886 Ph: (503) 769-2259 | Sublimity Medical Clinic 114 Se Church St Sublimity OR 97385-9714 Ph: (503) 769-2259 |
NPI Number | 1518354547 |
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Provider Enumeration Date | 04/16/2015 |
Last Update Date | 04/16/2015 |
Medicare PECOS PAC ID | 6103729751 |
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Medicare Enrollment ID | O20150209001771 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518354547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sublimity Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Se Church St, Sublimity, OR 97385 Phone: 503-769-2259 | |
Bridgeway-woodburn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11656 Sublimity Rd Se, Sublimity, OR 97385 Phone: 503-238-0769 Fax: 503-889-2599 |