Organization · Type 2 NPI

Centennial Medical Group East, LLC

Rural Health Clinic/Center · Myrtle Creek, OR

NPI number 1699103598 Active

Practice location

145 NE Broadway St
Myrtle Creek, OR 97457-9039

Call (541) 863-3146 Map

Fax (541) 863-3226

Mailing address

2801 NW Mercy Dr, Suite 340
Roseburg, OR 97471-2348

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X71216890 (OR)
Family Medicine Physician 207Q00000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

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

8 other providers at this address

About NPI 1699103598

Centennial Medical Group East, LLC's National Provider Identifier is 1699103598, issued on Oct 31, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Myrtle Creek, OR. The record was last updated on Nov 22, 2016.