Hermiston Medical Center P C | |
600 Nw 11th St Suite E 15 Hermiston OR 97838 | |
(541) 567-6434 | |
(541) 567-6019 |
Full Name | Hermiston Medical Center P C |
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Speciality | Family Medicine |
Location | 600 Nw 11th St, Hermiston, Oregon |
Authorized Official Name and Position | Derek Ted Earl (MEDICAL DIRECTOR) |
Authorized Official Contact | 5415676434 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hermiston Medical Center P C 600 Nw 11th Street Suite E 15 Hermiston OR 97838 Ph: (541) 567-6434 | Hermiston Medical Center P C 600 Nw 11th St Suite E 15 Hermiston OR 97838 Ph: (541) 567-6434 |
NPI Number | 1467403329 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 01/09/2025 |
Medicare PECOS PAC ID | 9133028798 |
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Medicare Enrollment ID | O20250303002434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467403329 | NPI | - | NPPES |
083709 | Medicaid | OR | |
194175200 | Other | W C |
Provider Name | Derek T. Earl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538241799 PECOS PAC ID: 9032233929 Enrollment ID: I20100830000502 |
Provider Name | Shara M Salverda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598035925 PECOS PAC ID: 9638339542 Enrollment ID: I20120330000541 |
Provider Name | Jessica L Oltman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508113408 PECOS PAC ID: 8921256280 Enrollment ID: I20140730002731 |
Provider Name | Jonas L Oltman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700173218 PECOS PAC ID: 6002033511 Enrollment ID: I20140806002545 |
Provider Name | Dawn Headings |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265833362 PECOS PAC ID: 3870816820 Enrollment ID: I20141223000638 |
Provider Name | Patrick Bernard Johansing |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922495035 PECOS PAC ID: 5890008213 Enrollment ID: I20200803002498 |
Provider Name | Joseph Justus Stanger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649783176 PECOS PAC ID: 7618324849 Enrollment ID: I20231109003076 |
Praxis Health, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Nw 11th St Ste E15, Hermiston, OR 97838 Phone: 541-567-6434 Fax: 541-429-6613 | |
Cornerstone Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 Se 4th St Ste B, Hermiston, OR 97838 Phone: 817-733-4691 | |
Good Shepherd Health Care System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 W Elm Ave, Suite #110, Hermiston, OR 97838 Phone: 541-567-3797 Fax: 541-567-7720 | |
Columbia Basin Wellness Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Hermiston Ave, Suite 100 C, Hermiston, OR 97838 Phone: 541-667-8357 Fax: 541-667-8357 | |
Advanced Orthopedic & Sports Medicine Institute, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Nw 11th St, Ste 201, Hermiston, OR 97838 Phone: 541-289-7075 Fax: 541-289-1189 | |
Hermiston Medical Center P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Nw 11th St Ste E15, Hermiston, OR 97838 Phone: 541-567-6434 | |
Ben Booher Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 W Orchard Ave, Hermiston, OR 97838 Phone: 541-289-4555 Fax: 541-289-4556 |