Centennial Medical Group East LLC
Doing business as Evergreen Family Medicine PC
Rural health clinic in Roseburg, OR, Medicare certification number 383880.
Medicare certification
Provider of Services- CCN
- 383880
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Jan 18, 2011
- Last certification
- Sep 19, 2024
- Address
- 2570 NW Edenbower Boulevard, Suite 100
Roseburg, OR 97471
(541) 677-7200
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Evergreen Family Medicine
- Rural Health Clinic/Center
- Roseburg, OR
- NPI 1821366071
Medicare enrollment
Other rural health clinics in Roseburg, OR
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.