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606 Medical Parkway Enterprise OR 97828-1245 | |
(541) 426-4502 | |
(541) 426-6403 |
Full Name | |
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Speciality | Clinic/Center |
Location | 606 Medical Parkway, Enterprise, Oregon |
Authorized Official Name and Position | Keli Jean Dennis (COO) |
Authorized Official Contact | 5414264502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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603 Medical Pkwy Enterprise OR 97828-5124 Ph: (541) 426-4502 | 606 Medical Parkway Enterprise OR 97828-1245 Ph: (541) 426-4502 |
NPI Number | 1538527726 |
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Provider Enumeration Date | 02/03/2016 |
Last Update Date | 09/12/2023 |
Medicare PECOS PAC ID | 8224346713 |
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Medicare Enrollment ID | O20220802001146 |
Identifier | Type | State | Issuer |
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1538527726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |