| Eoma, Llc | |
|
3950 17th St Suite A Baker City OR 97814-1300 | |
| (541) 523-1001 | |
| (541) 523-1152 |
| Full Name | Eoma, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3950 17th St, Baker City, Oregon |
| Authorized Official Name and Position | Jon D. Schott (MANAGING PARTNER) |
| Authorized Official Contact | 5415231001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eoma, Llc 3950 17th St Suite A Baker City OR 97814-1300 Ph: (541) 523-1001 | Eoma, Llc 3950 17th St Suite A Baker City OR 97814-1300 Ph: (541) 523-1001 |
| NPI Number | 1124069620 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124069620 | NPI | - | NPPES |
| 276275 | Medicaid | OR | |
| 838159000 | Other | OR | BLUE CROSS # |
| DA6341 | Other | OR | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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