| Mid-valley Healthcare, Inc. | |
|
1289 49th Ave Ste 102 Sweet Home OR 97386-3230 | |
| (541) 451-6250 | |
| Not Available |
| Full Name | Mid-valley Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1289 49th Ave Ste 102, Sweet Home, Oregon |
| Authorized Official Name and Position | Daniel Rackham (CEO-SLCH) |
| Authorized Official Contact | 5417686768 |
| 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 1189 Corvallis OR 97339-1189 Ph: (541) 768-4410 | Mid-valley Healthcare, Inc. 1289 49th Ave Ste 102 Sweet Home OR 97386-3230 Ph: (541) 451-6250 |
| NPI Number | 1528334125 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 12/09/2024 |
| Medicare PECOS PAC ID | 2769391523 |
|---|---|
| Medicare Enrollment ID | O20180419002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528334125 | NPI | - | NPPES |
| 500651457 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sweet Home Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1023 Main St, Sweet Home, OR 97386 Phone: 541-255-1234 Fax: 541-255-1336 | |
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 |