Centennial Medical Group East LLC
Doing business as Evergreen Family Medicine South
Rural health clinic in Myrtle Creek, OR, Medicare certification number 383891.
Medicare certification
Provider of Services- CCN
- 383891
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Feb 9, 2015
- Last certification
- Jun 15, 2023
- Address
- 145 NE Broadway Street
Myrtle Creek, OR 97457
(541) 863-3146
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Evergreen Family Medicine South
- Rural Health Clinic/Center
- Myrtle Creek, OR
- NPI 1699103598
Medicare enrollment
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.