| Pioneer Memorial Clinic | |
|
130 Thompson Ave. Heppner OR 97836 | |
| (541) 676-5504 | |
| (541) 676-9025 |
| Full Name | Pioneer Memorial Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Thompson Ave., Heppner, Oregon |
| Authorized Official Name and Position | Nicole Mahoney (CFO) |
| Authorized Official Contact | 5416765504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Memorial Clinic Po Box 9 Heppner OR 97836-0009 Ph: (541) 676-5504 | Pioneer Memorial Clinic 130 Thompson Ave. Heppner OR 97836 Ph: (541) 676-5504 |
| NPI Number | 1487685004 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 05/24/2016 |
| Medicare PECOS PAC ID | 2365359296 |
|---|---|
| Medicare Enrollment ID | O20050711000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487685004 | NPI | - | NPPES |
| 168725 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 141444 (Oregon) | Primary |
Morrow County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 S Main Street, Heppner, OR 97836 Phone: 541-676-5421 Fax: 541-676-5652 |