Provider Demographics
NPI:1427032770
Name:BEAR CREEK CLINIC PC
Entity Type:Organization
Organization Name:BEAR CREEK CLINIC PC
Other - Org Name:EAGLE POINT MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-840-9484
Mailing Address - Street 1:PO BOX 3511
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-0019
Mailing Address - Country:US
Mailing Address - Phone:541-423-5832
Mailing Address - Fax:541-830-0863
Practice Address - Street 1:358 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-3198
Practice Address - Country:US
Practice Address - Phone:541-423-5832
Practice Address - Fax:833-384-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR287774Medicaid
OR287774Medicaid