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 249 Dakota St , Sutherlin OR 97479-9908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Centennial Medical Group East, Llc can be contacted via phone (541) 677-7200, or through Tyree, Kimberly via phone (541) 229-3332.

Contact Information

Primary practice address
249 Dakota St Sutherlin OR 97479-9908
Phone: (541) 677-7200
Fax: (541) 229-3309
Website:
Map and Directions
Authorized official contact:
Name: Tyree, Kimberly
Phone: (541) 229-3332

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1164124111
LBN Legal business name Centennial Medical Group East, Llc
DBA Doing business as
Authorized official Tyree, Kimberly
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2023
Last updated Mar 21st, 2023 - 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.

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