Urgentcare Nw-astoria Pc | |
2120 Exchange St Suite 111 Astoria OR 97103-3366 | |
(503) 325-0333 | |
(503) 325-6333 |
Full Name | Urgentcare Nw-astoria Pc |
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Speciality | Clinic/Center |
Location | 2120 Exchange St, Astoria, Oregon |
Authorized Official Name and Position | Mary A Klatt (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 5033250333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Urgentcare Nw-astoria Pc Po Box 96 Boring OR 97009 Ph: (503) 577-8410 | Urgentcare Nw-astoria Pc 2120 Exchange St Suite 111 Astoria OR 97103-3366 Ph: (503) 325-0333 |
NPI Number | 1902067010 |
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Provider Enumeration Date | 06/20/2008 |
Last Update Date | 11/06/2015 |
Medicare PECOS PAC ID | 5799847232 |
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Medicare Enrollment ID | O20081217000721 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902067010 | NPI | - | NPPES |
246578 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | 1351854-3 (Oregon) | Primary |
Provider Name | Keith D Klatt |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1518980044 PECOS PAC ID: 3476514217 Enrollment ID: I20081222000057 |
Provider Name | Susan G Sims |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235171216 PECOS PAC ID: 4486603792 Enrollment ID: I20171219002363 |
Provider Name | Lindsey Ray Wong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881384006 PECOS PAC ID: 3375083967 Enrollment ID: I20240910002555 |
Thomas S. Duncan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 18th St, Astoria, OR 97103 Phone: 503-325-9131 Fax: 888-371-4110 | |
North Coast Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Commercial St Ste 103, Astoria, OR 97103 Phone: 503-568-7497 | |
Pacific Family Medicine Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Exchange St, Ste 190, Astoria, OR 97103 Phone: 503-325-5300 Fax: 503-325-5400 |