| Complete Integrative Care, Llc | |
|
3156 State St Medford OR 97504-8450 | |
| (541) 773-5772 | |
| (541) 773-1113 |
| Full Name | Complete Integrative Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3156 State St, Medford, Oregon |
| Authorized Official Name and Position | Melissa Carrigan (LEAD BILLING SPECIALIST) |
| Authorized Official Contact | 5417739770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Integrative Care, Llc 3156 State St Medford OR 97504-8450 Ph: (541) 773-5772 | Complete Integrative Care, Llc 3156 State St Medford OR 97504-8450 Ph: (541) 773-5772 |
| NPI Number | 1073061099 |
|---|---|
| Provider Enumeration Date | 09/19/2016 |
| Last Update Date | 03/24/2022 |
| Medicare PECOS PAC ID | 0244510261 |
|---|---|
| Medicare Enrollment ID | O20161209000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073061099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan K Preslar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558462507 PECOS PAC ID: 3678563798 Enrollment ID: I20040512001135 |
| Provider Name | Sarah A Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275641730 PECOS PAC ID: 1658370051 Enrollment ID: I20061213000088 |
| Provider Name | Matthew John Hogge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912203183 PECOS PAC ID: 4688988926 Enrollment ID: I20150730014137 |
| Provider Name | Molly Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265028625 PECOS PAC ID: 8820402498 Enrollment ID: I20210122002431 |
| Provider Name | Denise Mao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922588011 PECOS PAC ID: 2860884046 Enrollment ID: I20220120001074 |
| Provider Name | Audrey Mae Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104338268 PECOS PAC ID: 2466713987 Enrollment ID: I20230623001229 |
| Provider Name | Shayna Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740933597 PECOS PAC ID: 2466816681 Enrollment ID: I20230906003376 |
| Provider Name | Brennan Mark Ullom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851104400 PECOS PAC ID: 0143741835 Enrollment ID: I20250311001121 |
University Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 503-494-9000 | |
Rogue Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Medford, OR 97504 Phone: 541-842-7705 Fax: 541-842-7640 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Juanipero Way, Medford, OR 97504 Phone: 541-858-8170 Fax: 541-858-8167 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504 Phone: 541-732-7850 Fax: 541-732-7851 | |
La Clinica Del Valle Family Health Care Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 638 Market St, Medford, OR 97504 Phone: 541-494-3840 Fax: 541-494-1789 |