| NPI | 1467446195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY P DAVIS CEO 541-963-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: OR 140728) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 261QU0200X Clinic/Center Urgent Care | |
| 282NC0060X General Acute Care Hospital Critical Access | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2021-12-15 |