| South Wasco Community Health | |
|
505 Deschutes Ave Maupin OR 97037-7002 | |
| (541) 993-4650 | |
| Not Available |
| Full Name | South Wasco Community Health |
|---|---|
| Speciality | Family Medicine |
| Location | 505 Deschutes Ave, Maupin, Oregon |
| Authorized Official Name and Position | Cheryl C Laplante (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5419934650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Wasco Community Health 142 S Louisa Rd Tygh Valley OR 97063-9742 Ph: (541) 993-4650 | South Wasco Community Health 505 Deschutes Ave Maupin OR 97037-7002 Ph: (541) 993-4650 |
| NPI Number | 1306511183 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Medicare PECOS PAC ID | 2769879923 |
|---|---|
| Medicare Enrollment ID | O20220419000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306511183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cheryl C Laplante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306803077 PECOS PAC ID: 7517951635 Enrollment ID: I20080910000502 |
Dba Deschutes Rim Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1605 George Jackson Rd, Maupin, OR 97037 Phone: 541-395-2911 Fax: 541-395-2912 |