<unavail> in Ontario, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ontario, Oregon. The current practice location for is 896 Fortner St, Ontario, Oregon. For appointments, you can reach them via phone at (541) 889-2340. The mailing address for is 1441 Ne 10th Ave, Payette, Idaho and phone number is (208) 642-9376.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912620923. 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) 889-2340.

Contact Information


	896 Fortner St Ontario OR 97914-1787
	(541) 889-2340
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	896 Fortner St, Ontario, Oregon
Authorized Official Name and Position	Jennifer Rodriguez (PAYER ENROLLMENT SPECIALIST)
Authorized Official Contact	2086429376
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1441 Ne 10th Ave Payette ID 83661-5420 Ph: (208) 642-9376	896 Fortner St Ontario OR 97914-1787 Ph: (541) 889-2340

NPI Details:

NPI Number	1912620923
Provider Enumeration Date	09/23/2022
Last Update Date	09/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	0547169591
Medicare Enrollment ID	O20231004002218

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912620923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Ontario, OR

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- Medicare Primary Care in Ontario, OR