| Lake County Medical Clinic, P.c. | |
|
624 S J St Lakeview OR 97630-1680 | |
| (541) 947-3366 | |
| (541) 947-4404 |
| Full Name | Lake County Medical Clinic, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 624 S J St, Lakeview, Oregon |
| Authorized Official Name and Position | Sheena M Felder (OFFICE MANAGER) |
| Authorized Official Contact | 5419473366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Medical Clinic, P.c. 624 S J St Lakeview OR 97630-1680 Ph: (541) 947-3366 | Lake County Medical Clinic, P.c. 624 S J St Lakeview OR 97630-1680 Ph: (541) 947-3366 |
| NPI Number | 1922085604 |
|---|---|
| Provider Enumeration Date | 12/23/2005 |
| Last Update Date | 07/02/2010 |
| Medicare PECOS PAC ID | 2365435575 |
|---|---|
| Medicare Enrollment ID | O20040405001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922085604 | NPI | - | NPPES |
| 246694 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oregon) | Primary |
Charles S. Graham, D.o., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 S J St, Lakeview, OR 97630 Phone: 541-947-2331 Fax: 541-947-4854 | |
Mae Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 N 1st St, Lakeview, OR 97630 Phone: 541-600-2535 | |
Lake Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N D St Ste 100, Lakeview, OR 97630 Phone: 541-947-2114 Fax: 541-947-2433 | |
Lake Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 South J St, Lakeview, OR 97630 Phone: 541-947-2114 |