| Sweet Home Clinic Llc | |
|
1023 Main St Sweet Home OR 97386-1515 | |
| (541) 255-1234 | |
| (541) 255-1336 |
| Full Name | Sweet Home Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1023 Main St, Sweet Home, Oregon |
| Authorized Official Name and Position | Samuel B Milstein (PRESIDENT) |
| Authorized Official Contact | 5417459002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Home Clinic Llc 1023 Main St Sweet Home OR 97386-1515 Ph: () - | Sweet Home Clinic Llc 1023 Main St Sweet Home OR 97386-1515 Ph: (541) 255-1234 |
| NPI Number | 1366013666 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 3971907973 |
|---|---|
| Medicare Enrollment ID | O20210813000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366013666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy E Hindmarsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952346603 PECOS PAC ID: 4688652480 Enrollment ID: I20040708001344 |
| Provider Name | Diana Jerline Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134222490 PECOS PAC ID: 7012062599 Enrollment ID: I20090904000385 |
| Provider Name | Elizabeth G Gienger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366793846 PECOS PAC ID: 7012155393 Enrollment ID: I20130528000358 |
| Provider Name | Samuel Blechman Milstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480553 PECOS PAC ID: 1153546379 Enrollment ID: I20180730002166 |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1289 49th Ave Ste 102, Sweet Home, OR 97386 Phone: 541-451-6250 | |
Benton County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1023 Main St, Sweet Home, OR 97386 Phone: 833-990-6300 Fax: 541-766-6833 |