| Columbia Lutheran Charities | |
|
1111 N Roosevelt Dr Ste 210 Seaside OR 97138-4604 | |
| (503) 738-3002 | |
| (503) 738-3005 |
| Full Name | Columbia Lutheran Charities |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 N Roosevelt Dr Ste 210, Seaside, Oregon |
| Authorized Official Name and Position | Kimberly Kae Thomas (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5033384027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Lutheran Charities 2111 Exchange St Astoria OR 97103-3329 Ph: (503) 325-4321 | Columbia Lutheran Charities 1111 N Roosevelt Dr Ste 210 Seaside OR 97138-4604 Ph: (503) 738-3002 |
| NPI Number | 1225694706 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 11/21/2019 |
| Medicare PECOS PAC ID | 5294643359 |
|---|---|
| Medicare Enrollment ID | O20191112002902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225694706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 727 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7000 | |
Medtriciti Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 N Wahanna Rd, Seaside, OR 97138 Phone: 805-395-0318 Fax: 503-386-3214 |