BEAVERCREEK HEALTH CLINIC
NPI 1720017809
Clinic/Center - Federally Qualified Health Center (FQHC) in Oregon City, OR
About Beavercreek Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEAVERCREEK HEALTH CLINIC (NPI 1720017809) is a healthcare organization registered as a federally qualified health center (fqhc) in Oregon City, Oregon and active in the NPI registry since July 2006. The organization lists Ed Johnson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beavercreek Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
130Medicare enrollment records show 130 clinicians reassign Medicare billing to Beavercreek Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 95 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 130Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clackamas County's NPI number?
The NPI number for Clackamas County is 1720017809. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Beavercreek Health Clinic.
Where is Clackamas County located?
Clackamas County is located at 110 Beavercreek Rd Ste 100, Oregon City, OR 97045. The listed phone number is (503) 655-8471.
What is Clackamas County's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Clackamas County enrolled in Medicare?
Yes. Clackamas County is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clackamas County?
According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 10 Medicare specialties reassign their Medicare billing to Clackamas County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (61), Mental Health Counselor (21) and Nurse Practitioner (19). Of these, 1 practice at this address and 95 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Clackamas County accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Clackamas County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clackamas County was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Beavercreek Health Clinic · NPI 1720017809
Federally Qualified Health Center (FQHC) organization in Oregon City, Oregon. Organization record, active in the CMS NPPES registry since July 1, 2006.
## Identity
- **NPI:** 1720017809 (Entity type: Organization)
- **Enumerated:** July 1, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Clackamas County
- **Organization subpart:** No
- **Authorized official:** Ed Johnson, CFO
## Practice location
- **Address:** 110 BEAVERCREEK RD STE 100, Oregon City, OR 97045-4307
- **Phone:** (503) 655-8471 · **Fax:** (503) 655-8595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 130 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (61), Mental Health Counselor (21), Nurse Practitioner (19); 1 practice at this address and 95 within 10 miles; [full list](https://npiprofile.com/npi/1720017809/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2019
- **Other identifiers:** Medicaid 022710 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1720017809) · Data from the CMS NPPES public registry.