Provider Demographics
NPI:1275352254
Name:FAITH COMMUNITY HEALTH NETWORK
Entity type:Organization
Organization Name:FAITH COMMUNITY HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FELL CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:541-248-0595
Mailing Address - Street 1:PO BOX 2466
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-0808
Mailing Address - Country:US
Mailing Address - Phone:541-248-0595
Mailing Address - Fax:
Practice Address - Street 1:37631 SODAVILLE CUT OFF DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-9371
Practice Address - Country:US
Practice Address - Phone:541-248-0595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable