| Benton County | |
|
1023 Main St Sweet Home OR 97386-1515 | |
| (833) 990-6300 | |
| (541) 766-6833 |
| Full Name | Benton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1023 Main St, Sweet Home, Oregon |
| Authorized Official Name and Position | Lacey Mollel (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 5417666835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6835 | Benton County 1023 Main St Sweet Home OR 97386-1515 Ph: (833) 990-6300 |
| NPI Number | 1801278015 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 05/01/2025 |
| Medicare PECOS PAC ID | 6709858020 |
|---|---|
| Medicare Enrollment ID | O20151211000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801278015 | NPI | - | NPPES |
| 227701 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |
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 |