| Healthy U | |
|
535 E River St Cave Junction OR 97523-9336 | |
| (541) 592-4888 | |
| Not Available |
| Full Name | Healthy U |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 535 E River St, Cave Junction, Oregon |
| Authorized Official Name and Position | Nicole Ann Rensenbrink (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5415924888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy U Po Box 1491 Cave Junction OR 97523-1491 Ph: (541) 592-4888 | Healthy U 535 E River St Cave Junction OR 97523-9336 Ph: (541) 592-4888 |
| NPI Number | 1871838391 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 01/22/2014 |
| Medicare PECOS PAC ID | 2365689957 |
|---|---|
| Medicare Enrollment ID | O20130520000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871838391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nicole A Rensenbrink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255488839 PECOS PAC ID: 2365616174 Enrollment ID: I20111114000038 |
Inspire Wellness Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 535 River St, Cave Junction, OR 97523 Phone: 541-450-9650 |