Club Northwest

LBN: Club Northwest
Club Northwest is an health care organization with primary practice located at 2160 Nw Vine St , Grants Pass OR 97526-8439. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Club Northwest can be contacted via phone (541) 955-2582, or through Cappadona, Stacy Rae via phone (541) 955-2582.

Contact Information

Primary practice address
2160 Nw Vine St Grants Pass OR 97526-8439
Phone: (541) 955-2582
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cappadona, Stacy Rae MS, RD, LD, CSCS
Phone: (541) 955-2582

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1356854830
LBN Legal business name Club Northwest
DBA Doing business as
Authorized official Cappadona, Stacy Rae MS, RD, LD, CSCS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 2017 - about 7 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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