| Klamath Health Partnership Inc | |
|
2074 South 6th Street Klamath Falls OR 97601-3372 | |
| (541) 851-8110 | |
| (541) 880-2070 |
| Full Name | Klamath Health Partnership Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2074 South 6th Street, Klamath Falls, Oregon |
| Authorized Official Name and Position | Signe Porter (CEO) |
| Authorized Official Contact | 5418518110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Klamath Health Partnership Inc 2074 South 6th Street Klamath Falls OR 97601-3372 Ph: (541) 851-8110 | Klamath Health Partnership Inc 2074 South 6th Street Klamath Falls OR 97601-3372 Ph: (541) 851-8110 |
| NPI Number | 1538155825 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 08/06/2020 |
| Medicare PECOS PAC ID | 2264334051 |
|---|---|
| Medicare Enrollment ID | O20040122000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538155825 | NPI | - | NPPES |
| 170061 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 102910 (Oregon) | Primary |
| Provider Name | Barbara A Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528054335 PECOS PAC ID: 2466460167 Enrollment ID: I20060322000268 |
| Provider Name | Sarah Ann Lamanuzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235243049 PECOS PAC ID: 9931114857 Enrollment ID: I20061204000523 |
| Provider Name | Gabriel R Mayland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669586467 PECOS PAC ID: 6406864263 Enrollment ID: I20070102000116 |
| Provider Name | Evelyn I Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720052657 PECOS PAC ID: 3476712720 Enrollment ID: I20120307000000 |
| Provider Name | Scott Donald Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831439454 PECOS PAC ID: 0547485526 Enrollment ID: I20140707002055 |
| Provider Name | Sarah Jane Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255775516 PECOS PAC ID: 2668775503 Enrollment ID: I20161031002056 |
| Provider Name | Stephanie Np Mcvay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750682647 PECOS PAC ID: 7113276536 Enrollment ID: I20180817002942 |
| Provider Name | Jan E Hallock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902283187 PECOS PAC ID: 0547545329 Enrollment ID: I20190819003777 |
| Provider Name | Catherine Ruth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477908473 PECOS PAC ID: 5294013637 Enrollment ID: I20190919002639 |
| Provider Name | Bradley Lynn Stoker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306283056 PECOS PAC ID: 2365745965 Enrollment ID: I20210923001593 |
| Provider Name | Chris Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225674419 PECOS PAC ID: 7315372638 Enrollment ID: I20220414001435 |
| Provider Name | Cora O Frantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114652658 PECOS PAC ID: 7911382767 Enrollment ID: I20220915001539 |
| Provider Name | Jesse Isenstadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336508266 PECOS PAC ID: 6507111374 Enrollment ID: I20230123002455 |
| Provider Name | Ralph Parker Eccles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659304459 PECOS PAC ID: 7810186046 Enrollment ID: I20230209002161 |
| Provider Name | Jenniffer Ely Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801520200 PECOS PAC ID: 1052766516 Enrollment ID: I20231018003201 |
| Provider Name | Nicholas Franklin Hrabik |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104414002 PECOS PAC ID: 4688024920 Enrollment ID: I20231228001342 |
| Provider Name | Patrick A Story |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477978658 PECOS PAC ID: 8325499734 Enrollment ID: I20240110002944 |
| Provider Name | Grethe June Mortenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205183415 PECOS PAC ID: 7315196920 Enrollment ID: I20240206001956 |
| Provider Name | Elise Deringer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124633243 PECOS PAC ID: 8527403724 Enrollment ID: I20240227004300 |
| Provider Name | Fiji Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124659685 PECOS PAC ID: 6608275631 Enrollment ID: I20240315001644 |
Cofas Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2218 Shallock Ave, Klamath Falls, OR 97601 Phone: 541-882-3818 Fax: 541-882-9800 | |
Sky Lakes Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Clover St, Klamath Falls, OR 97601 Phone: 541-274-6221 | |
Baby Catchers And Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Main St, Suite B, Klamath Falls, OR 97601 Phone: 541-887-8321 Fax: 541-887-8322 | |
Basin Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Shasta Way Ste A, Klamath Falls, OR 97603 Phone: 541-883-2337 Fax: 541-883-2504 | |
Sky Lakes Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2617 Almond St, Klamath Falls, OR 97601 Phone: 541-274-6221 | |
Whole Person Care Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 Phone: 541-850-7697 Fax: 541-884-1580 | |
Aspen Family Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2631 Crosby Ave, Klamath Falls, OR 97603 Phone: 541-884-2900 Fax: 541-884-5204 |