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MORROW COUNTY HEALTH DISTRICT NPI 1487685004


NPI Information

NPI: 1487685004
Provider Name: MORROW COUNTY HEALTH DISTRICT

Doing Business As: PIONEER MEMORIAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 38D0628590

Address:
130 THOMPSON AVE.
HEPPNER, OR
ZIP 97836
Phone: (541) 676-5504
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MORROW COUNTY HEALTH DISTRICT is a rural health clinic center in Heppner, OR. MORROW COUNTY HEALTH DISTRICT NPI is 1487685004. The provider is registered as an organization entity type.
The provider Is Doing Business As Pioneer Memorial Clinic.

The provider's business location address is:

130 THOMPSON AVE.
HEPPNER, OR
ZIP 97836
Phone: (541) 676-5504
Fax: (541) 676-9025

The provider's authorized official is Nicole Mahoney .
The authorized official title is Cfo and has the following contact phone number (541) 676-5504.

The CLIA number assigned to this NPI record is 38D0628590 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 5/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health141444OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1168725MEDICAIDOREGON
2383984MEDICARE OSCAR/CERTIFICATIONOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.