Organization
HIGH DESERT HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E KNOWER MD (PRESIDENT)
(541) 447-1680
Entity
Organization
Contact information
Practice address
1251 NE ELM STREET, PRINEVILLE, OR 97754
(541) 447-1680
(541) 447-4670
Mailing address
1251 NE ELM STREET, PRINEVILLE, OR 97754
(541) 447-1680
(541) 447-4670
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MD15601
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213187
—
OR
01
—
CH6131
RAILROAD MEDICARE
—
01
—
GRP331
PROVIDENCE HEALTH PLANS
—
01
—
H3079
PACIFIC SOURCE
—
Enumeration date
08/09/2005
Last updated
08/22/2020
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