| Providence St Vincent Heart Clincs Cardiology Seaside | |
|
727 S Wahanna Rd Suite 101 Seaside OR 97138-7735 | |
| (503) 717-7000 | |
| Not Available |
| Full Name | Providence St Vincent Heart Clincs Cardiology Seaside |
|---|---|
| Speciality | Clinic/center |
| Location | 727 S Wahanna Rd, Seaside, Oregon |
| Authorized Official Name and Position | Keenan B Freeman (CFO) |
| Authorized Official Contact | 5038936524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence St Vincent Heart Clincs Cardiology Seaside Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence St Vincent Heart Clincs Cardiology Seaside 727 S Wahanna Rd Suite 101 Seaside OR 97138-7735 Ph: (503) 717-7000 |
| NPI Number | 1184941619 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 12/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184941619 | NPI | - | NPPES |
| 500622002 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Cmh Medical Group & Urgent Care- Seaside Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138 Phone: 503-738-3002 Fax: 503-738-3005 | |
Providence Seaside Hospital, Providence Seaside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 727 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7000 |