| |
306 W North St Enterprise OR 97828-1041 | |
(541) 426-7900 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 306 W North St, Enterprise, Oregon |
Authorized Official Name and Position | Joseph Wanner (CFO) |
Authorized Official Contact | 5414265460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
601 Medical Pkwy Enterprise OR 97828-5124 Ph: (541) 426-3111 | 306 W North St Enterprise OR 97828-1041 Ph: (541) 426-7900 |
NPI Number | 1295338333 |
---|---|
Provider Enumeration Date | 11/20/2020 |
Last Update Date | 01/31/2023 |
Medicare PECOS PAC ID | 4183537566 |
---|---|
Medicare Enrollment ID | O20210209002035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295338333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Winding Waters Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4502 Fax: 541-426-6403 | |
Olive Branch Family Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 W North Street, Enterprise, OR 97828 Phone: 541-426-7171 Fax: 541-426-7176 | |
Frontier Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 W North St, Enterprise, OR 97828 Phone: 541-426-3797 Fax: 541-426-3798 | |