| Salutem Primum LLC | |
|
1919 Woodlawn Ave Eugene OR 97403-1887 | |
| (718) 502-5750 | |
| Not Available |
| Full Name | Salutem Primum LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1919 Woodlawn Ave, Eugene, Oregon |
| Authorized Official Name and Position | Moshe Beracha Kovachevich (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7185025750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salutem Primum LLC 175 W B St Bldg K2 Springfield OR 97477-4575 Ph: (718) 502-5750 | Salutem Primum LLC 1919 Woodlawn Ave Eugene OR 97403-1887 Ph: (718) 502-5750 |
| NPI Number | 1093253825 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 2668756032 |
|---|---|
| Medicare Enrollment ID | O20170302001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093253825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Moshe Beracha Kovachevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861657975 PECOS PAC ID: 7911075593 Enrollment ID: I20081009000240 |
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