SOUTH RIVER MEDICAL CLINIC (DUNS #022052793) is an entity registered with System for Award Management (SAM). The business start date is December 1, 2006.
| DUNS Number | 022052793 (Data Universal Numbering System by Dun & Bradstreet) |
| CAGE Code | 6C027 (Commercial and Government Entity Code by NATO Codification System) |
| DBA Name | SOUTH RIVER MEDICAL CLINIC |
| Entity Structure | 8H - Corporate Entity (Tax Exempt) |
| Physical Address |
671 Sw Main St Winston OR 97496-9660 |
| Mailing Address |
Po Box 12 Winston OR 97496-9660 |
| Business Type | A8 - Non-Profit Organization |
| Primary NAICS Code | 621112 - Offices of Physicians, Mental Health Specialists |
| Credit Card Usage | Y |
| Debt Subject to Offset | N |
| Incorporation State | OR |
| Congressional District | 04 |
| Registration Purpose | Z2 - All Awards |
| Record Status | Active |
| Business Start Date | December 1, 2006 |
| Registration Date | March 28, 2011 |
| Expiration Date | May 15, 2021 |
| Update Date | May 15, 2020 |
| Activation Date | May 15, 2020 |
| Fiscal Year End Date | 0630 |
| Contact Name & Title | Janet L Tribble (CFO) |
| Address | Po Box 1121, Roseburg, OR 97470 |
| Phone Number | 5416722691 ext. 2000 |
| Fax Number | 5416735642 |
| Email Address | [email protected] |
| Contact Name & Title | Kellie Hopkins |
| Address | Po Box 1121, Roseburg, OR 97470 |
| Phone Number | 5416722691 ext. 214 |
| Fax Number | 5416735642 |
| Email Address | [email protected] |
| Contact Name & Title | Gregory Brigham (CEO) |
| Address | Po Box 1121, Roseburg, OR 97470 |
| Phone Number | 5416722691 ext. 2203 |
| Fax Number | 5416735642 |
| Email Address | [email protected] |
| Contact Name & Title | Grayson Bly |
| Address | Po Box 1121, Roseburg, OR 97470 |
| Phone Number | 5414920178 ext. 1123 |
| Fax Number | 5416735642 |
| Email Address | [email protected] |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| National Provider Identifier (NPI) | SOUTH RIVER MEDICAL CLINIC, LLC | 100 7th Street, Grottoes, VA 24441 |
| Street Address | 671 SW MAIN ST |
| City | WINSTON |
| State | OR |
| Zip Code | 97496 |
| Entity Name | Office Address | Start Date |
|---|---|---|
| · City of Winston | 201 Nw Douglas Blvd, Winston, OR 97496-8551 | 19530921 |
| 368 Dillard Gardens Rd, Winston, OR 97496-9526 | 19940421 | |
| Wildlife Safari | 1790 Safari Rd, Winston, OR 97496-8610 | 19721001 |
| 128 Freadman Ln, Winston, OR 97496-4556 | 19950817 | |
| Fire District | 250 Se Main, Winston, OR 97496-6566 | 19520101 |
| 303 Dillard Gardens Rd, Winston, OR 97496-9526 | 19830923 | |
| 6200 Upper Olalla, Winston, OR 97496-4583 | 19900201 | |
| 620 Nw Elwood St, Winston, OR 97496-8568 | 19520701 | |
| 209 Nw Glen Hart Ave, Winston, OR 97496-9556 | 20030905 | |
| 6914 Upper Olalla Rd, Winston, OR 97496-4580 | 20160101 | |
| Find all businesses in zip 97496 | ||
| Business Role | Name | Address |
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Please comment or provide details below to improve the information on SOUTH RIVER MEDICAL CLINIC.
| Data Provider | System for Award Management (SAM) |
| Jurisdiction | United States |
This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.