Organization Name: | WARM SPRINGS HEALTH AND WELLNESS CENTER |
NPI Number: | 1194180570 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL LOCKER (CLINICAL DIRECTOR) |
Mailing Address: | 1270 Kot-num Road Warm Springs |
State: | OR US |
Postal Code: | 97761 |
Phone Number: | 5415532134 |
Fax Number: | 5415532481 |
NPI Enumeration Date: | 12/29/2015 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0904X |
License Number: | RPH-0014779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, Federal |
Taxonomy Definition: |