| Mid-valley Healthcare, Inc. | |
|
425 N Santiam Hwy Lebanon OR 97355-4361 | |
| (541) 451-6960 | |
| (541) 918-5419 |
| Full Name | Mid-valley Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 N Santiam Hwy, Lebanon, Oregon |
| Authorized Official Name and Position | Wendie Wunderwald (CEO) |
| Authorized Official Contact | 5414517195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-valley Healthcare, Inc. Po Box 1193 Corvallis OR 97339-1193 Ph: (541) 451-6960 | Mid-valley Healthcare, Inc. 425 N Santiam Hwy Lebanon OR 97355-4361 Ph: (541) 451-6960 |
| NPI Number | 1881950038 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 2769391523 |
|---|---|
| Medicare Enrollment ID | O20180420000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881950038 | NPI | - | NPPES |
| 500651908 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6413 Fax: 541-812-2041 | |
Premise Health Of Oregon Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Reeves Pkwy, Lebanon, OR 97355 Phone: 541-258-0221 Fax: 541-981-5187 | |
Benton County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Mullins Dr Ste A1, Lebanon, OR 97355 Phone: 541-766-0200 Fax: 541-766-6618 | |
Icco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Cooperative Way, Lebanon, OR 97355 Phone: 541-666-3305 Fax: 541-666-3306 | |
Stayton Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Ash St, Lebanon, OR 97355 Phone: 503-769-2641 Fax: 503-769-3797 | |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 191 N Main St, Lebanon, OR 97355 Phone: 541-451-7940 |