| Peacehealth | |
|
38843 Dexter Rd Dexter OR 97431-0110 | |
| (541) 937-2134 | |
| Not Available |
| Full Name | Peacehealth |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 38843 Dexter Rd, Dexter, Oregon |
| Authorized Official Name and Position | Wendy Apland (CFO) |
| Authorized Official Contact | 5416863968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peacehealth Po Box 24410 Eugene OR 97402-0451 Ph: (541) 984-4301 | Peacehealth 38843 Dexter Rd Dexter OR 97431-0110 Ph: (541) 937-2134 |
| NPI Number | 1760704878 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 09/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760704878 | NPI | - | NPPES |
| 38 3808 | Other | MEDICARE PART A PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Peacehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38843 Dexter Rd, Dexter, OR 97431 Phone: 541-767-5200 | |
The Lakeside Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38843 Dexter Rd, Dexter, OR 97431 Phone: 541-937-2134 Fax: 541-937-1370 |