institution
Benton County
Federally Qualified Health Center (FQHC) in Lebanon, Oregon
NPI 1093997710

Benton County is a Federally Qualified Health Center (FQHC) based in Corvallis, OR and is specialized in Federally Qualified Health Center (FQHC). Benton County practices in Lebanon, OR. The NPI Number for Benton County is 1093997710 and holds a License No. (Oregon).

The current practice location address for Benton County is 100 Mullins Dr Ste A1, Lebanon, OR and can be reached out via phone at 541-451-6920 and via fax at 541-451-6924. You can also correspond with Benton County through the mailing address at PO BOX 579, CORVALLIS, OR - 97339-0579 (mailing address contact number: 541-766-6835).

Location: 100 Mullins Dr Ste A1, Lebanon, OR, 97339-0579
institution
Provider Profile Details
NPI Number
1093997710
Provider Name
Benton County
Credential
Provider Entity Type
Organization
Address
100 Mullins Dr Ste A1, Lebanon, OR, 97339-0579
Phone Number
541-451-6920
Fax Number
541-451-6924
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227701 05 OR
03932800 01 REGENCE BCBS
700228501 01 REGENCE BCBS
institution
Provider Business Practice Location Address Details
Address
100 Mullins Dr Ste A1
City
State
Zip
97355-2868
Phone Number
541-451-6920
Fax Number
541-451-6924
person
Provider Business Mailing Address Details
Address
100 Mullins Dr Ste A1
City
State
Zip
97355-2868
Phone Number
541-451-6920
Fax Number
541-451-6924
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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