Benton County | |
435 E Alder St Alsea OR 97324-9634 | |
(541) 487-7116 | |
(541) 487-4076 |
Full Name | Benton County |
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Speciality | Clinic/Center |
Location | 435 E Alder St, Alsea, Oregon |
Authorized Official Name and Position | Lacey Mollel (HEALTH CENTER DIRECTOR) |
Authorized Official Contact | 5417666835 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Benton County Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6190 | Benton County 435 E Alder St Alsea OR 97324-9634 Ph: (541) 487-7116 |
NPI Number | 1588046791 |
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Provider Enumeration Date | 06/24/2015 |
Last Update Date | 05/01/2025 |
Medicare PECOS PAC ID | 6709858020 |
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Medicare Enrollment ID | O20151211001064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588046791 | NPI | - | NPPES |
227701 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Alsea Rural Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N. 4th St., Alsea, OR 97324 Phone: 541-487-7116 Fax: 541-487-4076 |