Hermiston Family Medicine And Urgent Care
LBN: Bruce D. Carlson M.D.
Hermiston Family Medicine And Urgent Care is an health care organization with primary practice located at 236 E Newport Ave , Hermiston OR 97838-2449. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Health Service is the primary health care specialty.
Bruce D. Carlson M.D. can be contacted via phone (541) 567-1137, or through Foster, Tami J via phone (541) 567-1137.
Contact Information
Primary practice address
236 E Newport Ave
Hermiston OR 97838-2449
Phone: (541) 567-1137
Fax: (541) 567-2336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1508921016 |
|---|---|
| LBN Legal business name | Bruce D. Carlson M.D. |
| DBA Doing business as | Hermiston Family Medicine And Urgent Care |
| Authorized official | Foster, Tami J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Apr 19th, 2022 - about 3 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 | 1508921016 | NPPES |
| Oregon | MEDICAID | 223149 | |
| Oregon | Other | OR1807 | |
| Oregon | Other | 080385000 |
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