| Benton County | |
|
610 Dragon Dr Monroe OR 97456-9604 | |
| (541) 766-6000 | |
| (541) 766-6047 |
| Full Name | Benton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 Dragon Dr, Monroe, Oregon |
| Authorized Official Name and Position | Lacey Mollel (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 5417666835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County Po Box 579 Corvallis OR 97339-0579 Ph: (541) 847-5143 | Benton County 610 Dragon Dr Monroe OR 97456-9604 Ph: (541) 766-6000 |
| NPI Number | 1235299140 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 05/01/2025 |
| Medicare PECOS PAC ID | 6709858020 |
|---|---|
| Medicare Enrollment ID | O20040813000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235299140 | NPI | - | NPPES |
| 039328000 | Other | REGENCE BCBS | |
| 227701 | Medicaid | OR | |
| 700228501 | Other | REGENCE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |