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Organization

BANDON COMMUNITY HEALTH CTR

Active
Parent organization
BANDON COMMUNITY HEALTH CTR
Other names
Auborn Center for Wellness
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANDON COMMUNITY HEALTH CTR
Authorized official
LINDA S MAXON (CEO)
(541) 347-2529
Entity
Organization

Contact information

Practice address
716 HIGHWAY 101, PORT ORFORD, OR 97465-8672
(541) 347-2529
Mailing address
1010 1ST ST SE STE 110, BANDON, OR 97411-9301
(541) 347-2529

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/18/2019
Last updated
03/03/2020
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