Ashland Integrative Care Pc
LBN: Ashland Integrative Care Pc
Ashland Integrative Care Pc is an health care organization with primary practice located at 850 Siskiyou Blvd Suite 1, Ashland OR 97520-2125. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Ashland Integrative Care Pc can be contacted via phone (541) 201-3173, or through Gruber, Joann Ellen via phone (541) 201-3173.
Contact Information
Primary practice address
850 Siskiyou Blvd Suite 1
Ashland OR 97520-2125
Phone: (541) 201-3173
Fax: (561) 427-1393
Website:
Authorized official contact:
Name: Gruber, Joann Ellen Nurse Practitioner (NP)
Phone: (541) 201-3173
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201050217 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201050218 | Oregon |
Profile Details
| NPI number | 1659429249 |
|---|---|
| LBN Legal business name | Ashland Integrative Care Pc |
| DBA Doing business as | |
| Authorized official | Gruber, Joann Ellen Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Aug 11th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659429249 | NPPES |
| Oregon | MEDICAID | 500685278 |
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