| S-corp | |
|
905 Main St Ste 211 Klamath Falls OR 97601-6066 | |
| (877) 822-4323 | |
| (877) 244-2835 |
| Full Name | S-corp |
|---|---|
| Speciality | Family Medicine |
| Location | 905 Main St Ste 211, Klamath Falls, Oregon |
| Authorized Official Name and Position | Fiji Simmons (CEO OWNER) |
| Authorized Official Contact | 3234557247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S-corp 905 Main St Ste 211 Klamath Falls OR 97601-6066 Ph: (778) 224-3238 | S-corp 905 Main St Ste 211 Klamath Falls OR 97601-6066 Ph: (877) 822-4323 |
| NPI Number | 1427627751 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427627751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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