| M-care | |
|
648 Chetco Ave. Brookings OR 97415 | |
| (541) 813-1797 | |
| (541) 813-1801 |
| Full Name | M-care |
|---|---|
| Speciality | Clinic/Center |
| Location | 648 Chetco Ave., Brookings, Oregon |
| Authorized Official Name and Position | Tressere Mills (SECRETARY/OFFICE MANAGER) |
| Authorized Official Contact | 4181317975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M-care Po Box 5299 Brookings OR 97415-0102 Ph: (541) 813-1797 | M-care 648 Chetco Ave. Brookings OR 97415 Ph: (541) 813-1797 |
| NPI Number | 1649544784 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Medicare PECOS PAC ID | 8123289675 |
|---|---|
| Medicare Enrollment ID | O20120411000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649544784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DO24746 (Oregon) | Primary |
| Provider Name | William E Mcdougall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598763302 PECOS PAC ID: 0648179267 Enrollment ID: I20040102000585 |
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