Black Stone Health Pc

LBN: Black Stone Health Pc
Black Stone Health Pc is an health care organization with primary practice located at 2358 Nw Kings Blvd Suite 100, Corvallis OR 97330. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Black Stone Health Pc can be contacted via phone (541) 368-5986, or through Musson, Marc via phone (513) 658-8605.

Contact Information

Primary practice address
2358 Nw Kings Blvd Suite 100 Corvallis OR 97330
Phone: (541) 368-5986
Fax: (866) 624-8745
Website:
Map and Directions
Authorized official contact:
Name: Musson, Marc Doctor of Osteopathy (DO)
Phone: (513) 658-8605

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1457764961
LBN Legal business name Black Stone Health Pc
DBA Doing business as
Authorized official Musson, Marc Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2014
Last updated Apr 27th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457764961 NPPES
Oregon MEDICAID 500683153

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