| Laurel Hill Center | |
|
2145 Centennial Plz Eugene OR 97401-2421 | |
| (541) 485-6340 | |
| (541) 984-3124 |
| Full Name | Laurel Hill Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2145 Centennial Plz, Eugene, Oregon |
| Authorized Official Name and Position | Shawn D. Murphy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5414856340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Hill Center 2145 Centennial Plz Eugene OR 97401-2421 Ph: (541) 485-6340 | Laurel Hill Center 2145 Centennial Plz Eugene OR 97401-2421 Ph: (541) 485-6340 |
| NPI Number | 1639231715 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 2365604261 |
|---|---|
| Medicare Enrollment ID | O20181114002091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639231715 | NPI | - | NPPES |
| 115337 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oregon) | Primary |
| Provider Name | Katelyn Kirchheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811444557 PECOS PAC ID: 9537448501 Enrollment ID: I20161115000513 |
| Provider Name | Amy Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255761466 PECOS PAC ID: 3173753027 Enrollment ID: I20190201000591 |
| Provider Name | Todd Elliot Styles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841767340 PECOS PAC ID: 5294078705 Enrollment ID: I20190527000016 |
| Provider Name | Marlyce C Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801097183 PECOS PAC ID: 5496121741 Enrollment ID: I20221012000937 |
| Provider Name | Joseph Stertz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255668687 PECOS PAC ID: 1355682725 Enrollment ID: I20240308002155 |
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