| Winding Waters Clinic Pc | |
|
203 E First Street Wallowa OR 97885-9999 | |
| (541) 886-2431 | |
| (541) 886-2211 |
| Full Name | Winding Waters Clinic Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 203 E First Street, Wallowa, Oregon |
| Authorized Official Name and Position | Scott K Siebe (PRESIDENT) |
| Authorized Official Contact | 5418862431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winding Waters Clinic Pc 406 Ne 1st St Enterprise OR 97828-1168 Ph: (541) 886-2431 | Winding Waters Clinic Pc 203 E First Street Wallowa OR 97885-9999 Ph: (541) 886-2431 |
| NPI Number | 1932323474 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932323474 | NPI | - | NPPES |
| 223198 | Medicaid | OR | |
| 5966000 | Other | OR | BCBS PROVIDER NUMBER |
| CG2920 | Other | OR | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 383865 (Oregon) | Primary |
Wallowa Memorial Medical Clinic - Wallowa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 East 2nd St, Wallowa, OR 97885 Phone: 541-426-7900 | |
Winding Waters Wallowa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 W Hwy 82, Wallowa, OR 97885 Phone: 541-426-4502 |