| Benton County | |
|
530 Nw 27th St Corvallis OR 97330-5223 | |
| (541) 766-6835 | |
| (541) 766-6164 |
| Full Name | Benton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 530 Nw 27th St, Corvallis, 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 |
|---|---|
| Benton County Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6835 | Benton County 530 Nw 27th St Corvallis OR 97330-5223 Ph: (541) 766-6835 |
| NPI Number | 1932161361 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 04/29/2026 |
| Medicare PECOS PAC ID | 6709858020 |
|---|---|
| Medicare Enrollment ID | O20040813000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932161361 | NPI | - | NPPES |
| RP0002882CS | Other | OR | LICENSE |
| 700228501 | Other | REGENCE BCBS | |
| 039328000 | Other | REGENCE BCBS | |
| 043047 | Medicaid | OR | |
| 227701 | Medicaid | OR | |
| 3845053 | Other | OR | NCPDP |
| RP-0002882-CS | Other | OR | OR PHARMACY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 227701 (Oregon) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Secondary |
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Willamette Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6029 Sw Grand Oaks Dr, Corvallis, OR 97333 Phone: 541-740-3341 | |
Good Samaritan Hospital Corvallis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3615 Nw Samaritan Dr Ste 110, Corvallis, OR 97330 Phone: 541-768-7900 | |
Village Healthcare Of La Grande, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 656 Nw Mirador Pl, Corvallis, OR 97330 Phone: 541-624-2040 Fax: 503-200-2258 | |
Frances S. Spiller, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2298 Nw Kings Blvd, Corvallis, OR 97330 Phone: 541-207-7982 | |
Vertebrata Chiropractic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Sw 2nd St, Corvallis, OR 97333 Phone: 541-363-3100 Fax: 866-572-0412 |