| Benton County | |
|
100 Mullins Dr Ste A1 Lebanon OR 97355-2868 | |
| (541) 766-0200 | |
| (541) 766-6618 |
| Full Name | Benton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Mullins Dr Ste A1, Lebanon, Oregon |
| Authorized Official Name and Position | Lacey Mollel (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 5417666835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6835 | Benton County 100 Mullins Dr Ste A1 Lebanon OR 97355-2868 Ph: (541) 766-0200 |
| NPI Number | 1093997710 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 05/01/2025 |
| Medicare PECOS PAC ID | 6709858020 |
|---|---|
| Medicare Enrollment ID | O20080731000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093997710 | NPI | - | NPPES |
| 03932800 | Other | REGENCE BCBS | |
| 227701 | Medicaid | OR | |
| 700228501 | Other | REGENCE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6413 Fax: 541-812-2041 | |
Premise Health Of Oregon Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Reeves Pkwy, Lebanon, OR 97355 Phone: 541-258-0221 Fax: 541-981-5187 | |
Icco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Cooperative Way, Lebanon, OR 97355 Phone: 541-666-3305 Fax: 541-666-3306 | |
Stayton Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Ash St, Lebanon, OR 97355 Phone: 503-769-2641 Fax: 503-769-3797 | |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 191 N Main St, Lebanon, OR 97355 Phone: 541-451-7940 |