| St. Charles Family Care - Prineville | |
|
384 Se Combs Flat Rd Suite 1200 Prineville OR 97754-2562 | |
| (541) 447-6263 | |
| (541) 447-8724 |
| Full Name | St. Charles Family Care - Prineville |
|---|---|
| Speciality | Clinic/Center |
| Location | 384 Se Combs Flat Rd, Prineville, Oregon |
| Authorized Official Name and Position | Matthew Swafford (CFO) |
| Authorized Official Contact | 5413824321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Family Care - Prineville Po Box 6095 Bend OR 97708-6095 Ph: (541) 382-4321 | St. Charles Family Care - Prineville 384 Se Combs Flat Rd Suite 1200 Prineville OR 97754-2562 Ph: (541) 447-6263 |
| NPI Number | 1407178528 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 3870402852 |
|---|---|
| Medicare Enrollment ID | O20100527000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407178528 | NPI | - | NPPES |
| 500642552 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Ne 1st Street, Prineville, OR 97754 Phone: 541-323-4272 Fax: 541-383-1883 | |
High Desert Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm Street, Prineville, OR 97754 Phone: 541-447-1680 Fax: 541-447-4670 | |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 541-408-9486 Fax: 541-647-2793 | |
Mosaic Medical Prineville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Nw Beaver St, Suite 101, Prineville, OR 97754 Phone: 541-447-0707 Fax: 541-383-1883 |