Organization · Type 2 NPI

Benton County

Federally Qualified Health Center (FQHC) · Lebanon, OR

NPI number 1093997710 Active

Practice location

100 Mullins Dr Ste A1
Lebanon, OR 97355-2868

Call (541) 766-0200 Map

Fax (541) 766-6618

Mailing address

PO Box 579
Corvallis, OR 97339-0579

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

7 other providers at this address

NPI record

NPI: 1093997710
Entity type: Organization (Type 2)
Issued: Dec 4, 2007
Last updated: May 1, 2025
Status: Active
Subpart: Yes of Benton County

Other names

<unavail>
Benton County Health Services · doing business as
East Linn Health Center · other name

Authorized official

Mrs. Lacey Mollel
Health Center Director
(541) 766-6835

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093997710

Benton County's National Provider Identifier is 1093997710, issued on Dec 4, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lebanon, OR. The record was last updated on May 1, 2025.