| White River Health District | |
|
1605 George Jackson Rd Maupin OR 97037-9208 | |
| (541) 395-2911 | |
| (541) 395-2912 |
| Full Name | White River Health District |
|---|---|
| Speciality | Family Medicine |
| Location | 1605 George Jackson Rd, Maupin, Oregon |
| Authorized Official Name and Position | Sharon D. Dehart (DISTRICT MANAGER) |
| Authorized Official Contact | 5413952911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Health District Po Box 219 Maupin OR 97037-0219 Ph: (541) 395-2911 | White River Health District 1605 George Jackson Rd Maupin OR 97037-9208 Ph: (541) 395-2911 |
| NPI Number | 1841317237 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 03/16/2016 |
| Medicare PECOS PAC ID | 0244321305 |
|---|---|
| Medicare Enrollment ID | O20070806000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841317237 | NPI | - | NPPES |
| 006335 | Medicaid | OR |
| Provider Name | Maile Anslinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194774208 PECOS PAC ID: 6608831524 Enrollment ID: I20090804000790 |
| Provider Name | Rebecca J Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881067809 PECOS PAC ID: 4789980384 Enrollment ID: I20160308001727 |
| Provider Name | Michael Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821073701 PECOS PAC ID: 9133307606 Enrollment ID: I20171228000949 |
| Provider Name | James Roland Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912509829 PECOS PAC ID: 3971917212 Enrollment ID: I20210128001436 |
| Provider Name | Jordan J Nagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982012324 PECOS PAC ID: 7113225020 Enrollment ID: I20220926002592 |
South Wasco Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Deschutes Ave, Maupin, OR 97037 Phone: 541-993-4650 |