Southriver Medical Clinic Aka: Southriver Community Health Center
LBN: Adapt
Southriver Medical Clinic Aka: Southriver Community Health Center is an health care organization with primary practice located at 671 Sw Main , Winston OR 97496-0012. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Adapt can be contacted via phone (541) 492-4550, or through Watson, Michelle M via phone (541) 492-4550.
Contact Information
Primary practice address
671 Sw Main
Winston OR 97496-0012
Phone: (541) 492-4550
Fax: (541) 492-4553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 276245 | Oregon |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1912061755 |
|---|---|
| LBN Legal business name | Adapt |
| DBA Doing business as | Southriver Medical Clinic Aka: Southriver Community Health Center |
| Authorized official | Watson, Michelle M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jun 10th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912061755 | NPPES |
| Oregon | MEDICAID | 007151 |
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