| Wellspring Family Practice | |
|
1716 Williams Hwy Grants Pass OR 97527-5661 | |
| (541) 474-6053 | |
| Not Available |
| Full Name | Wellspring Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1716 Williams Hwy, Grants Pass, Oregon |
| Authorized Official Name and Position | Jon Ermshar (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 5414746053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Family Practice 1208 Beall Ln Central Point OR 97502-1573 Ph: (541) 664-5151 | Wellspring Family Practice 1716 Williams Hwy Grants Pass OR 97527-5661 Ph: (541) 474-6053 |
| NPI Number | 1366492548 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 0345142451 |
|---|---|
| Medicare Enrollment ID | O20040121000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366492548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon E L Ermshar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366438095 PECOS PAC ID: 4880596998 Enrollment ID: I20040407000218 |
| Provider Name | Mckenzie L Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568869279 PECOS PAC ID: 1658545355 Enrollment ID: I20150321000070 |
Bogard Family And Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Sw Ramsey, Suite 104, Grants Pass, OR 97527 Phone: 541-471-4930 Fax: 541-471-1331 | |
James Lee Calvert M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Nw Bunnell Ave, Grants Pass, OR 97526 Phone: 541-479-4111 Fax: 541-955-1621 | |
Grants Pass Chiropractic Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 Ne 7th St, Grants Pass, OR 97526 Phone: 541-479-1982 Fax: 541-479-0621 | |
Kurt A Brewster Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Ne 6th Street, Grants Pass, OR 97526 Phone: 541-474-1020 Fax: 541-474-1108 | |
Mountainview Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 741 Ne 6th St, Grants Pass, OR 97526 Phone: 541-471-2701 Fax: 541-471-1166 | |
Brian Hancock Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-2721 Fax: 541-474-0056 | |
Karen Joyce Hoskins Msn/fnp Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Ne 7th St Ste C, Grants Pass, OR 97526 Phone: 541-476-7000 Fax: 541-476-7000 |