| Benton County Health Services | |
|
100 Mullins Dr Ste A1 Lebanon OR 97355-2868 | |
| (541) 451-6920 | |
| (541) 451-6924 |
| Full Name | Benton County Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Mullins Dr Ste A1, Lebanon, Oregon |
| Authorized Official Name and Position | Sherlyn Dahl (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 5417662131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County Health Services Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6835 | Benton County Health Services 100 Mullins Dr Ste A1 Lebanon OR 97355-2868 Ph: (541) 451-6920 |
| NPI Number | 1093997710 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 10/01/2019 |
| Medicare PECOS PAC ID | 6709858020 |
|---|---|
| Medicare Enrollment ID | O20080731000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093997710 | NPI | - | NPPES |
| 227701 | Medicaid | OR | |
| 03932800 | Other | REGENCE BCBS | |
| 700228501 | Other | REGENCE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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