| Lane County Community Health Centers | |
|
2073 Olympic St Springfield OR 97477-3413 | |
| (541) 682-3550 | |
| (541) 682-3551 |
| Full Name | Lane County Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 2073 Olympic St, Springfield, Oregon |
| Authorized Official Name and Position | Michelle Lynn Peterson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5416827987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane County Community Health Centers 2073 Olympic St Springfield OR 97477-3413 Ph: (541) 682-3550 | Lane County Community Health Centers 2073 Olympic St Springfield OR 97477-3413 Ph: (541) 682-3550 |
| NPI Number | 1326138314 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 03/06/2020 |
| Medicare PECOS PAC ID | 7416853833 |
|---|---|
| Medicare Enrollment ID | O20031208000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326138314 | NPI | - | NPPES |
| 227624 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Eyecare Focus And Specialties Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 J St, Springfield, OR 97477 Phone: 541-726-5055 Fax: 541-747-5440 | |
G Street Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 G St, Springfield, OR 97477 Phone: 541-735-9420 Fax: 541-747-9420 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Centennial Blvd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-284-5534 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2280 Marcola Rd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 | |
Larry A. Jackson, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd, Suite 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 | |
J Beverly Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 18th St Ste 6, Springfield, OR 97477 Phone: 541-517-3970 Fax: 458-201-8188 | |
Dr Richard F Erpelding Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd Ste 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 |