| Gleneden Beach Medical Center | |
|
6615 Gleneden Beach Loop Gleneden Beach OR 97388 | |
| (541) 764-3360 | |
| (541) 764-3362 |
| Full Name | Gleneden Beach Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 6615 Gleneden Beach Loop, Gleneden Beach, Oregon |
| Authorized Official Name and Position | Vinod K Vinjamuri (PHYSICIAN) |
| Authorized Official Contact | 5417643360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gleneden Beach Medical Center Po Box 279 Gleneden Beach OR 97388-0279 Ph: (541) 764-3360 | Gleneden Beach Medical Center 6615 Gleneden Beach Loop Gleneden Beach OR 97388 Ph: (541) 764-3360 |
| NPI Number | 1508873779 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 03/13/2015 |
| Medicare PECOS PAC ID | 7113910712 |
|---|---|
| Medicare Enrollment ID | O20040407001675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508873779 | NPI | - | NPPES |
| 051867 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD18179 (Oregon) | Primary |
| Provider Name | Vinod K Vinjamuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720089345 PECOS PAC ID: 1759374358 Enrollment ID: I20101013000323 |
Nazmul Hoque Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6615 Gleneden Beach Loop, Gleneden Beach, OR 97388 Phone: 541-764-3360 Fax: 541-764-3362 |