| Total Health Community Clinic | |
|
180 Atwater St N Monmouth OR 97361-1801 | |
| (503) 606-3288 | |
| (503) 606-3287 |
| Full Name | Total Health Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Atwater St N, Monmouth, Oregon |
| Authorized Official Name and Position | Paul Logan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5035885831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health Community Clinic 681 Center St Ne Salem OR 97301-3722 Ph: (503) 588-5828 | Total Health Community Clinic 180 Atwater St N Monmouth OR 97361-1801 Ph: (503) 606-3288 |
| NPI Number | 1447332994 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 7012825797 |
|---|---|
| Medicare Enrollment ID | O20030131000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447332994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Western Oregon University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Monmouth Ave N, Student Health & Counseling Center, Monmouth, OR 97361 Phone: 503-838-8313 Fax: 503-838-8801 |