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:
Map and Directions
Authorized official contact:
Name: Groshong, Aric Doctor of Medicine (MD)
Phone: (541) 677-4319

Health care specialties

SpecialtyCodeLicense #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 4 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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