Centennial Medical Group East, Llc

LBN: Centennial Medical Group East, Llc
Centennial Medical Group East, Llc is an health care organization with primary practice located at 2570 Nw Edenbower Blvd , Roseburg OR 97471-6214. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Centennial Medical Group East, Llc can be contacted via phone (541) 677-2494, or through Agarwal, Rahul via phone (541) 677-2494.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Roseburg OR 97471-6214
Phone: (541) 677-2494
Fax: (541) 677-2294
Website:
Map and Directions
Authorized official contact:
Name: Agarwal, Rahul
Phone: (541) 677-2494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 71216890 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 71216890 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 71216890 Oregon

Profile Details

NPI number 1134436637
LBN Legal business name Centennial Medical Group East, Llc
DBA Doing business as
Authorized official Agarwal, Rahul
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 3rd, 2010
Last updated Jan 28th, 2013 - about 11 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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