Organization
ASHER COMMUNITY HEALTH CENTER
Active
Other names
Asher Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES IVAN CARLSON (ADMINISTRATOR)
(541) 763-2725
Entity
Organization
Contact information
Practice address
712 JAY ST., FOSSIL, OR 97830-0307
(541) 763-2725
(541) 763-2850
Mailing address
PO BOX 307, FOSSIL, OR 97830-0307
(541) 763-2725
(541) 763-2850
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276319
—
OR
Enumeration date
06/08/2006
Last updated
09/26/2023
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