Organization
MERRILL CLINIC
Active
Other names
The Bonanza Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL AARON SHEETS FNP (OWNER OPERATOR)
(541) 545-1820
Entity
Organization
Contact information
Practice address
125 NORTH LINCOLN STREET, MERRILL, OR 97633-0000
(541) 798-5074
(541) 798-5076
Mailing address
PO BOX 1030, MERRILL, OR 97633-1030
(541) 798-5074
(541) 798-5076
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
93006519
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R162513
MEDICARE NUMBER
OR
Enumeration date
06/01/2005
Last updated
08/05/2024
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