| Eagle Cap Clinic Inc Pc | |
|
3705 Midway Dr Baker City OR 97814 | |
| (541) 523-4497 | |
| (541) 523-5471 |
| Full Name | Eagle Cap Clinic Inc Pc |
|---|---|
| Speciality | General Practice |
| Location | 3705 Midway Dr, Baker City, Oregon |
| Authorized Official Name and Position | Randy A Alanko (OWNER) |
| Authorized Official Contact | 5415234497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Cap Clinic Inc Pc Po Box 69 Baker City OR 97814 Ph: (541) 523-4497 | Eagle Cap Clinic Inc Pc 3705 Midway Dr Baker City OR 97814 Ph: (541) 523-4497 |
| NPI Number | 1356424451 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356424451 | NPI | - | NPPES |
| 287777 | Medicaid | OR | |
| 175828 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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