Organization · Type 2 NPI

South Gilliam County Health Dist

Rural Health Clinic/Center · Condon, OR

NPI number 1588964407 Active

Practice location

422 North Main St.
Condon, OR 97823

Call (541) 384-2061 Map

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center	261QP2000X	None listed
Primary Care Clinic/Center	261QP2300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Other rural health clinic/center providers in Condon

Bruce D. CarlsonRural Health Clinic/Center Condon, OR NPI 1376608901

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NPI record

NPI: 1588964407
Entity type: Organization (Type 2)
Issued: Oct 26, 2010
Last updated: Dec 30, 2021
Status: Active

Other names

<unavail>
South Gilliam Health Center · doing business as
South Gilliam Health Center · doing business as

Authorized official

Mrs. Cynthia K.f. Hinton
Board Chairman
(541) 384-2061

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 1588964407

South Gilliam County Health Dist's National Provider Identifier is 1588964407, issued on Oct 26, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Condon, OR. The record was last updated on Dec 30, 2021.