| Benton County | |
|
530 Nw 27th St Corvallis OR 97330-5223 | |
| (541) 766-6835 | |
| (541) 766-6186 |
| Full Name | Benton County |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 530 Nw 27th St, Corvallis, Oregon |
| Authorized Official Name and Position | Lacey Mollel (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 5417666835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6835 | Benton County 530 Nw 27th St Corvallis OR 97330-5223 Ph: (541) 766-6835 |
| NPI Number | 1194787523 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194787523 | NPI | - | NPPES |
| 227701 | Medicaid | OR | |
| 700228501 | Other | REGENCE BCBS | |
| 039328000 | Other | REGENCE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 227701 (Oregon) | Primary |
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