Organization
SAINT ALPHONSUS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI VANVICKLE (HIM MANAGER)
(541) 523-8120
Entity
Organization
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-8814
Mailing address
2965 WALNUT ST, BAKER CITY, OR 97814-2143
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
282NC0060X
OR
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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