| Adapt Integrated Health Care | |
|
3005 Ne Diamond Lake Blvd Ste 150 Roseburg OR 97470-3609 | |
| (541) 492-4550 | |
| (541) 492-0190 |
| Full Name | Adapt Integrated Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 3005 Ne Diamond Lake Blvd Ste 150, Roseburg, Oregon |
| Authorized Official Name and Position | Michelle Monet Watson (COO) |
| Authorized Official Contact | 5414924550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adapt Integrated Health Care Po Box 1121 Roseburg OR 97470-0254 Ph: (541) 492-4550 | Adapt Integrated Health Care 3005 Ne Diamond Lake Blvd Ste 150 Roseburg OR 97470-3609 Ph: (541) 492-4550 |
| NPI Number | 1184350811 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 4587662887 |
|---|---|
| Medicare Enrollment ID | O20250210002196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184350811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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