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Cow Creek Health & Wellness Annex
Federally Qualified Health Center (FQHC) in Canyonville, Oregon
NPI 1205162021

Cow Creek Health & Wellness Annex is a Federally Qualified Health Center (FQHC) based in Canyonville, OR and is specialized in Federally Qualified Health Center (FQHC). Cow Creek Health & Wellness Annex practices in Canyonville, OR. The NPI Number for Cow Creek Health & Wellness Annex is 1205162021 and holds a License No. (Oregon).

The current practice location address for Cow Creek Health & Wellness Annex is 270 Gazley Bridge Rd, Canyonville, OR and can be reached out via phone at 541-839-1345 and via fax at 855-670-1791.

Location: 270 Gazley Bridge Rd, Canyonville, OR, 97417-9718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205162021
Provider Name
Cow Creek Health & Wellness Annex
Credential
Provider Entity Type
Organization
Address
270 Gazley Bridge Rd, Canyonville, OR, 97417-9718
Phone Number
541-839-1345
Fax Number
855-670-1791
Provider Enumeration Date
10/29/2009
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
500745176 05 OR
institution
Provider Business Practice Location Address Details
Address
270 Gazley Bridge Rd
City
Canyonville
State
Oregon
Zip
97417-9718
Phone Number
541-839-1345
Fax Number
855-670-1791
person
Provider Business Mailing Address Details
Address
270 Gazley Bridge Rd
City
Canyonville
State
Oregon
Zip
97417-9718
Phone Number
541-839-1345
Fax Number
855-670-1791
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Oregon)
Definition
Definition to come...
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