Gilliam County Medical Center

LBN: Bruce D. Carlson
Gilliam County Medical Center is an health care organization with primary practice located at 422 N Main , Condon OR 97823-0705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Bruce D. Carlson can be contacted via phone (541) 384-2061, or through Hess, Cindy via phone (541) 384-2061.

Contact Information

Primary practice address
422 N Main Condon OR 97823-0705
Phone: (541) 384-2061
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hess, Cindy
Phone: (541) 384-2061

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1376608901
LBN Legal business name Bruce D. Carlson
DBA Doing business as Gilliam County Medical Center
Authorized official Hess, Cindy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Feb 11th, 2008 - about 17 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 1376608901 NPPES
Oregon MEDICAID 223149
Oregon Other DA2998

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