Canby Healthcare Clinic
LBN: Canby Healthcare Clinic Llc
Canby Healthcare Clinic is an health care organization with primary practice located at 703 Se 1St Ave , Canby OR 97013-3849. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Canby Healthcare Clinic Llc can be contacted via phone (503) 266-7686, or through Richards, Pauline L via phone (503) 266-7686.
Contact Information
Primary practice address
703 Se 1St Ave
Canby OR 97013-3849
Phone: (503) 266-7686
Fax: (503) 266-7382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1114253713 |
|---|---|
| LBN Legal business name | Canby Healthcare Clinic Llc |
| DBA Doing business as | Canby Healthcare Clinic |
| Authorized official | Richards, Pauline L MANAGER |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2009 |
| Last updated | Feb 14th, 2013 - about 12 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 | 1114253713 | NPPES |
| Oregon | MEDICAID | 500618933 |
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