Organization
HIGH DESERT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JOHNSTON MD (PHYSICIAN)
(541) 573-2074
Entity
Organization
Contact information
Practice address
559 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-2074
(541) 573-8893
Mailing address
559 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-2074
(541) 573-8893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022704
—
OR
01
—
838331000
BLUE CROSS BLUE SHIELD
OR
01
—
DC0535
RAILROD MEDICARE
OR
Enumeration date
07/15/2006
Last updated
05/04/2012
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