Organization
KLAMATH HEALTH PARTNERSHIP, INC
Active
Parent organization
KLAMATH HEALTH PARTNERSHIP, INC
Other names
KOD @ KBBH
Organization subpart
Yes
Provider details
NPI number
Legal business name
KLAMATH HEALTH PARTNERSHIP, INC
Authorized official
JEANA MASTERS (CPES)
(541) 880-2011
Entity
Organization
Contact information
Practice address
2210 N ELDORADO AVE STE A, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 880-2011
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
Enumeration date
01/23/2019
Last updated
08/06/2020
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