| Alliance for Community Wellness | |
|
1966 Garden Ave Eugene OR 97403-1933 | |
| (541) 342-5088 | |
| (541) 342-1150 |
| Full Name | Alliance for Community Wellness |
|---|---|
| Speciality | Case Management |
| Location | 1966 Garden Ave, Eugene, Oregon |
| Authorized Official Name and Position | Renee Yandel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5413425088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance for Community Wellness 1195a City View St Eugene OR 97402-3325 Ph: (541) 342-5088 | Alliance for Community Wellness 1966 Garden Ave Eugene OR 97403-1933 Ph: (541) 342-5088 |
| NPI Number | 1295134708 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Medicare PECOS PAC ID | 4082005160 |
|---|---|
| Medicare Enrollment ID | O20211228000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295134708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Secondary |
| 251B00000X | Case Management | () | Primary |
| 251S00000X | Community/behavioral Health | () | Secondary |
| Provider Name | Gail J Hacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235252248 PECOS PAC ID: 2567687411 Enrollment ID: I20141218001401 |
| Provider Name | Jacqueline H Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508254517 PECOS PAC ID: 9436403458 Enrollment ID: I20181109002725 |
| Provider Name | Caitlin C Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841762002 PECOS PAC ID: 7911231287 Enrollment ID: I20190620003100 |
| Provider Name | Leah J Figueroa Carnine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912308214 PECOS PAC ID: 0345462743 Enrollment ID: I20200826001153 |
| Provider Name | Zachary C Biggs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386174001 PECOS PAC ID: 4688141807 Enrollment ID: I20260424002344 |
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