| Bandon Community Health Ctr | |
|
716 Highway 101 Port Orford OR 97465-8672 | |
| (541) 347-2529 | |
| Not Available |
| Full Name | Bandon Community Health Ctr |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 716 Highway 101, Port Orford, Oregon |
| Authorized Official Name and Position | Linda S Maxon (CEO) |
| Authorized Official Contact | 5413472529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bandon Community Health Ctr 1010 1st St Se Ste 110 Bandon OR 97411-9301 Ph: (541) 347-2529 | Bandon Community Health Ctr 716 Highway 101 Port Orford OR 97465-8672 Ph: (541) 347-2529 |
| NPI Number | 1598301251 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598301251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bandon Community Health Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 312 Tichenor St, Port Orford, OR 97465 Phone: 541-347-2529 Fax: 541-347-9196 | |
Curry Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Madrona St, Port Orford, OR 97465 Phone: 541-332-3861 Fax: 541-332-3861 |