Healthcare Provider Details

I. General information

NPI: 1033989439
Provider Name (Legal Business Name): ASHER COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 JAY ST
FOSSIL OR
97830-8371
US

IV. Provider business mailing address

PO BOX 307
FOSSIL OR
97830-0307
US

V. Phone/Fax

Practice location:
  • Phone: 541-763-2725
  • Fax: 833-601-2016
Mailing address:
  • Phone: 541-763-2725
  • Fax: 833-601-2016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TERESA GWENDOLYN HUNT
Title or Position: CFO
Credential:
Phone: 541-763-2725