| Centennial Medical Group East, Llc | |
|
1937 W Harvard Ave Roseburg OR 97471-2720 | |
| (541) 677-7200 | |
| (541) 229-3309 |
| Full Name | Centennial Medical Group East, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1937 W Harvard Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Kim Tyree (COO) |
| Authorized Official Contact | 5412293332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Medical Group East, Llc 2570 Nw Edenbower Blvd Ste 100 Roseburg OR 97471-6214 Ph: (541) 677-7200 | Centennial Medical Group East, Llc 1937 W Harvard Ave Roseburg OR 97471-2720 Ph: (541) 677-7200 |
| NPI Number | 1235688805 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 9234397878 |
|---|---|
| Medicare Enrollment ID | O20170131002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235688805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD12182 (Oregon) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 38-3896 (Oregon) | Primary |
A.k. Gombart M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 W Umpqua St, Roseburg, OR 97470 Phone: 541-673-0133 | |
Roseburg Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 W Harvard Ave, Roseburg, OR 97471 Phone: 541-673-8988 Fax: 541-672-8103 | |
Douglas Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 201, Roseburg, OR 97470 Phone: 541-440-6390 Fax: 541-440-6392 | |
Laurence M Sharp Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471 Phone: 541-459-1611 Fax: 541-459-5741 | |
Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Goetz Street, Roseburg, OR 97471 Phone: 541-672-4885 Fax: 541-672-4782 | |
Cow Creek Health & Wellness Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2589 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-672-8533 Fax: 855-670-1791 | |
Gordon F. Rose, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 W Umpqua St Ste 104, Roseburg, OR 97470 Phone: 541-673-3334 Fax: 541-673-0814 |