Organization
WARM SPRINGS HEALTH AND WELLNESS DHHS IHS WARM SPRINGS SERVICE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL PREVOST (CHIEF EXECUTIVE OFFICER)
(541) 553-1196
Entity
Organization
Contact information
Practice address
1270 KOT NUM RD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-2135
Mailing address
1270 KOT NUM RD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-2135
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273855
—
OR
Enumeration date
02/27/2007
Last updated
06/23/2011
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