Centennial Shaw Heart & Vascular Specialists
LBN: Centennial Medical Group Inc.
Centennial Shaw Heart & Vascular Specialists is an health care organization with primary practice located at 2801 Nw Mercy Dr Ste 300 , Roseburg OR 97471-2348. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Centennial Medical Group Inc. can be contacted via phone (541) 677-1555, or through Groshong, Aric via phone (541) 677-4319.
Contact Information
Primary practice address
2801 Nw Mercy Dr Ste 300
Roseburg OR 97471-2348
Phone: (541) 677-1555
Fax: (541) 677-1554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 141133 | Oregon |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X |
Profile Details
| NPI number | 1033365135 |
|---|---|
| LBN Legal business name | Centennial Medical Group Inc. |
| DBA Doing business as | Centennial Shaw Heart & Vascular Specialists |
| Authorized official | Groshong, Aric Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2008 |
| Last updated | Sep 22nd, 2020 - about 6 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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