| Confederated Tribes Of The Warm Springs Reservation Of Oregon | |
|
1115 Wasco Street Warm Springs OR 97761-3001 | |
| (541) 553-3205 | |
| (541) 553-4900 |
| Full Name | Confederated Tribes Of The Warm Springs Reservation Of Oregon |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 Wasco Street, Warm Springs, Oregon |
| Authorized Official Name and Position | Michele Stacona (SECRETARY/TREASURER-CEO) |
| Authorized Official Contact | 5415533232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederated Tribes Of The Warm Springs Reservation Of Oregon Po Box C Warm Springs OR 97761-3001 Ph: (541) 553-3205 | Confederated Tribes Of The Warm Springs Reservation Of Oregon 1115 Wasco Street Warm Springs OR 97761-3001 Ph: (541) 553-3205 |
| NPI Number | 1700027927 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 8426295833 |
|---|---|
| Medicare Enrollment ID | O20230512002169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700027927 | NPI | - | NPPES |
| 164964 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Warm Springs Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Kot-num Road, Warm Springs, OR 97761 Phone: 541-553-2134 Fax: 541-553-2481 | |
Warm Springs Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Kot-num Road, Warm Springs, OR 97761 Phone: 541-553-1196 Fax: 541-553-2135 | |
Confederated Tribes Of The Warm Springs Reservation Of Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Kot Num Rd, Warm Springs, OR 97761 Phone: 541-553-1196 | |
Warm Springs Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Kot Num Road, Warm Springs, OR 97761 Phone: 541-553-1196 Fax: 541-553-2613 | |
Warm Springs Health And Wellness Dhhs Ihs Warm Springs Service Unit Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1270 Kot Num Rd, Warm Springs, OR 97761 Phone: 541-553-1196 Fax: 541-553-2135 | |
Warm Springs Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Kot-num Road, Warm Springs, OR 97761 Phone: 541-553-1196 Fax: 541-553-1130 |