| Samaritan Depoe Bay Clinic | |
|
531 N Highway 101 Ste A Depoe Bay OR 97341-9572 | |
| (541) 765-3265 | |
| (541) 765-3260 |
| Full Name | Samaritan Depoe Bay Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 531 N Highway 101 Ste A, Depoe Bay, Oregon |
| Authorized Official Name and Position | Lesley Ogden (CEO) |
| Authorized Official Contact | 5415576411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Depoe Bay Clinic 531 N Highway 101 Ste A Depoe Bay OR 97341-9572 Ph: (541) 765-3265 | Samaritan Depoe Bay Clinic 531 N Highway 101 Ste A Depoe Bay OR 97341-9572 Ph: (541) 765-3265 |
| NPI Number | 1942357355 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 2466353529 |
|---|---|
| Medicare Enrollment ID | O20171208001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942357355 | NPI | - | NPPES |
| 286726 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Samaritan Infectious Disease-depoe Bay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Nw Hwy 101, Suite A, Depoe Bay, OR 97341 Phone: 541-768-5810 Fax: 541-768-5811 |