Ridgeway Health | |
1023 Main St Sweet Home OR 97386-1515 | |
(541) 255-1234 | |
(541) 255-1336 |
Full Name | Ridgeway Health |
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Speciality | Family Medicine |
Location | 1023 Main St, Sweet Home, Oregon |
Authorized Official Name and Position | Samuel B Milstein (PRESIDENT) |
Authorized Official Contact | 5417459002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ridgeway Health 1023 Main St Sweet Home OR 97386-1515 Ph: () - | Ridgeway Health 1023 Main St Sweet Home OR 97386-1515 Ph: (541) 255-1234 |
NPI Number | 1366013666 |
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Provider Enumeration Date | 07/07/2021 |
Last Update Date | 08/24/2022 |
Medicare PECOS PAC ID | 3971907973 |
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Medicare Enrollment ID | O20210813000100 |
Identifier | Type | State | Issuer |
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1366013666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Timothy E Hindmarsh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952346603 PECOS PAC ID: 4688652480 Enrollment ID: I20040708001344 |
Provider Name | Diana Jerline Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134222490 PECOS PAC ID: 7012062599 Enrollment ID: I20090904000385 |
Provider Name | Elizabeth G Gienger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366793846 PECOS PAC ID: 7012155393 Enrollment ID: I20130528000358 |
Provider Name | Samuel Blechman Milstein |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629480553 PECOS PAC ID: 1153546379 Enrollment ID: I20180730002166 |
Samaritan Lebanon Community Hospital Medical Clinic - Sweet Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1289 49th Ave, Sweet Home, OR 97386 Phone: 541-451-6250 | |
Benton County Health Services - Sweet Home Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 799 Long St, Sweet Home, OR 97386 Phone: 541-367-3888 Fax: 541-367-2407 |