| Adapt | |
|
1010 1st St Se Ste 110 Bandon OR 97411-9301 | |
| (541) 672-2691 | |
| (541) 492-0190 |
| Full Name | Adapt |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1010 1st St Se Ste 110, Bandon, Oregon |
| Authorized Official Name and Position | Debbie L Phillips (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 5414920134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adapt 621 W Madrone St Roseburg OR 97470-3090 Ph: (541) 492-0134 | Adapt 1010 1st St Se Ste 110 Bandon OR 97411-9301 Ph: (541) 672-2691 |
| NPI Number | 1194529289 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194529289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |