| Winding Waters Joseph | |
|
401b N Main St Joseph OR 97846-5030 | |
| (541) 426-4502 | |
| (541) 426-6403 |
| Full Name | Winding Waters Joseph |
|---|---|
| Speciality | Clinic/Center |
| Location | 401b N Main St, Joseph, Oregon |
| Authorized Official Name and Position | Keli Jean Christman (COO) |
| Authorized Official Contact | 5414264502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winding Waters Joseph 603 Medical Pkwy Enterprise OR 97828-5124 Ph: (541) 426-4502 | Winding Waters Joseph 401b N Main St Joseph OR 97846-5030 Ph: (541) 426-4502 |
| NPI Number | 1598284242 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 8224346713 |
|---|---|
| Medicare Enrollment ID | O20171129002246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598284242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wallowa Mountain Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 North East Street, Joseph, OR 97846 Phone: 541-432-7777 Fax: 541-432-7170 | |
Wallowa Memorial Medical Clinic - Joseph Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 North Main St, Joseph, OR 97846 Phone: 541-432-7777 |