Evergreen Family Medicine

LBN: Centennial Medical Group East, Llc
Evergreen Family Medicine is an health care organization with primary practice located at 2570 Nw Edenbower Blvd , Roseburg OR 97471-6214. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Centennial Medical Group East, Llc can be contacted via phone (541) 677-7200, or through Gray, Jason via phone (541) 677-2494.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Roseburg OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Website:
Map and Directions
Authorized official contact:
Name: Gray, Jason Doctor of Medicine (MD)
Phone: (541) 677-2494

Health care specialties

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

Profile Details

NPI number 1821366071
LBN Legal business name Centennial Medical Group East, Llc
DBA Doing business as Evergreen Family Medicine
Authorized official Gray, Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 2nd, 2011
Last updated Feb 6th, 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.

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