Organization
CONFEDERATED TRIBES OF SILETZ
Active
Other names
Siletz Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA WILLIAMS (EXECUTIVE HEALTH DIRECTOR)
(541) 444-1030
Entity
Organization
Contact information
Practice address
1831 SW HIGHWAY 101, LINCOLN CITY, OR 97367-2356
(541) 444-1030
Mailing address
1831 SW HIGHWAY 101, LINCOLN CITY, OR 97367-2356
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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