| Emurgent Care Llc | |
|
109 E Ellendale Ave Ste B Dallas OR 97338-1509 | |
| (503) 623-3199 | |
| (503) 623-3398 |
| Full Name | Emurgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 E Ellendale Ave Ste B, Dallas, Oregon |
| Authorized Official Name and Position | Crystal Hasina Kohistani (OWNER) |
| Authorized Official Contact | 6123067403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emurgent Care Llc 109 E Ellendale Ave Ste B Dallas OR 97338-1509 Ph: (503) 623-3199 | Emurgent Care Llc 109 E Ellendale Ave Ste B Dallas OR 97338-1509 Ph: (503) 623-3199 |
| NPI Number | 1265871123 |
|---|---|
| Provider Enumeration Date | 06/24/2013 |
| Last Update Date | 08/01/2022 |
| Medicare PECOS PAC ID | 9830325075 |
|---|---|
| Medicare Enrollment ID | O20131119000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265871123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO27917 (Oregon) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Laura J Cheshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053508549 PECOS PAC ID: 3274528377 Enrollment ID: I20040419000147 |
| Provider Name | Marion C Hull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295775278 PECOS PAC ID: 8224007927 Enrollment ID: I20040929000750 |
| Provider Name | Emily G Atharinikrouh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639424104 PECOS PAC ID: 7517117419 Enrollment ID: I20121031000348 |
| Provider Name | Donna L Millan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780954214 PECOS PAC ID: 5698931715 Enrollment ID: I20130607000660 |
Wvp Flaming Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 | |
Oregon Family Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 607 Se Jefferson St, Dallas, OR 97338 Phone: 503-623-1200 Fax: 503-623-1414 | |
Fitzgerald Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 289 E Ellendale Ave Ste 602, Dallas, OR 97338 Phone: 971-612-1588 Fax: 503-831-3215 | |
Flaming Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 Fax: 503-623-5293 | |
Salveo Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 E Ellendale Ave Ste 2, Dallas, OR 97338 Phone: 503-623-8151 Fax: 503-623-8185 | |
Salem Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 |