MERLE WEST MEDICAL CENTER INC DBA (NPI# 1275641862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275641862 |
Entity Type | Organization |
Organization Name | MERLE WEST MEDICAL CENTER INC DBA |
Other Organization Name | WEST OCCUPATIONAL CARE CLINIC |
Practice Address |
2633 Crosby Ave Klamath Falls OR 97603-5777 |
Practice Telephone | 5418852666 |
Practice Fax Number | 5418852618 |
Mailing Telephone | 5418852666 |
Mailing Fax Number | 5418852618 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. STEPHEN ANDREW RYBOLT (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5418836150 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
0700001687 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 152371 | 05 | |
OR | BCBS REENCE | 05957500 | 01 |
OR | PACIFIC SOURCE HEALTH PLA | H1814 04 | 01 |
Other Name | Type Code |
---|---|
West Occupational Care Clinic | Doing Business As Name - Organization |
Street Address |
2633 CROSBY AVE |
City | KLAMATH FALLS |
State | OR |
Zip Code | 97603-5777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
Find all providers in zip 97603 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992094817 | Mid-columbia Medical Center | Clinic/Center | 1815 E. 19th St, The Dalles, OR 97058-9403 | 2011-03-31 |
1902913106 | Michael Laurin Adams | Clinic/Center | 4855 S.w. Western Ave, Kaiser Permanente - Occupational Health, Beaverton, OR 97005-3499 | 2006-08-24 |
1306230917 | Southwest Physical Therapy LLC | Clinic/Center | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2015-03-20 |
1386903474 | Good Samaritan Hospital Corvallis | Clinic/Center | 2555 Ne Belvue St, Corvallis, OR 97330 | 2012-05-09 |
1518251396 | Prov Health Sys-or Shared Sys Div | Clinic/Center | 5050 Ne Hoyt St, Suite B48, Portland, OR 97213-2944 | 2011-06-08 |
1699090043 | Work Capacities LLC | Clinic/Center | 2275 Ne Doctors Dr, Suite 4, Bend, OR 97701-6324 | 2010-03-29 |
1306174438 | Providence Health & Services - Oregon | Clinic/Center | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2009-12-01 |
1114255247 | Providence Health & Services - Oregon | Clinic/Center | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2530 | 2009-12-01 |
1457689598 | Providence Health & Services Oregon | Clinic/Center | 9290 Se Sunnybrook Blvd, Suite 210, Clackamas, OR 97015 | 2009-12-01 |
1124159819 | Cascade Occupational Medicine Physicians Inc | Clinic/Center | 1200 Ne 48th Ave, Suite 700, Hillsboro, OR 97124-4904 | 2007-03-07 |
Find all providers with the same taxonomy |
City | KLAMATH FALLS |
Zip Code | 97603 |
Please comment or provide details below to improve the information on MERLE WEST MEDICAL CENTER INC DBA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.