| Praxis Health, Pc | |
| 
					2011 Fourth St. La Grande OR 97850  | |
| (541) 963-4139 | |
| (541) 429-6612 | 
| Full Name | Praxis Health, Pc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 2011 Fourth St., La Grande, Oregon | 
| Authorized Official Name and Position | Jessica M Reagan (REVENUE CYCLE DIRECTOR) | 
| Authorized Official Contact | 5419666136 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Praxis Health, Pc Po Box 1517 Pendleton OR 97801-0410 Ph: (877) 708-1119  | Praxis Health, Pc 2011 Fourth St. La Grande OR 97850 Ph: (541) 963-4139  | 
| NPI Number | 1336749621 | 
|---|---|
| Provider Enumeration Date | 10/27/2020 | 
| Last Update Date | 08/30/2021 | 
| Medicare PECOS PAC ID | 8325941446 | 
|---|---|
| Medicare Enrollment ID | O20210105001260 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336749621 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
John Schaefer Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412  | |
Grande Ronde Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10303 S Walton Rd, La Grande, OR 97850 Phone: 541-962-7845 Fax: 541-975-5225  | |
Western Skies Wellness Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1807 Cove Ave, La Grande, OR 97850 Phone: 541-663-9008 Fax: 541-624-5454  | |
Grande Ronde Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-963-3138 Fax: 541-963-5918  | |
Kim R. Montee, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412  | |
Grande Ronde Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138  |