# WARM SPRINGS HEALTH AND WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679781686
- **Authorized official:** MRS. RANEVA JUNE DOWTY (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (541) 553-1196

## Contact information

- **Practice address:** 1270 KOTNUM ROAD, WARM SPRINGS, OR 97761-1209
- **Practice address phone:** (541) 553-1196
- **Practice address fax:** (541) 553-1130
- **Mailing address:** P.O. BOX 1209, WARM SPRINGS, OR 97761-1209
- **Mailing address phone:** (541) 553-1196
- **Mailing address fax:** (541) 553-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 758 | AK | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 02/03/2009
