| Merrill Clinic | |
|
125 North Lincoln Street Merrill OR 97633-0000 | |
| (541) 798-5074 | |
| (541) 798-5076 |
| Full Name | Merrill Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 North Lincoln Street, Merrill, Oregon |
| Authorized Official Name and Position | Michael Aaron Sheets (OWNER OPERATOR) |
| Authorized Official Contact | 5415451820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrill Clinic Po Box 1030 Merrill OR 97633-1030 Ph: (541) 798-5074 | Merrill Clinic 125 North Lincoln Street Merrill OR 97633-0000 Ph: (541) 798-5074 |
| NPI Number | 1730181926 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 6002024072 |
|---|---|
| Medicare Enrollment ID | O20120308000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730181926 | NPI | - | NPPES |
| R162513 | Other | OR | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 93006519 (Oregon) | Primary |
| Provider Name | Michael Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548262876 PECOS PAC ID: 3274741244 Enrollment ID: I20110111000851 |
Merrill Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Lincoln St, Merrill, OR 97633 Phone: 541-798-5074 Fax: 541-798-5076 |