Cmh Primary Care Clinic

LBN: Columbia Lutheran Charities
Cmh Primary Care Clinic is an health care organization with primary practice located at 1639 Se Ensign Ln Suite B103, Warrenton OR 97146-7308. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Columbia Lutheran Charities can be contacted via phone (503) 338-4500, or through Brenden, Stephanie via phone (503) 325-4321.

Contact Information

Primary practice address
1639 Se Ensign Ln Suite B103 Warrenton OR 97146-7308
Phone: (503) 338-4500
Fax: (503) 338-4501
Website:
Map and Directions
Authorized official contact:
Name: Brenden, Stephanie
Phone: (503) 325-4321

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1033469663
LBN Legal business name Columbia Lutheran Charities
DBA Doing business as Cmh Primary Care Clinic
Authorized official Brenden, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2012
Last updated Aug 6th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033469663 NPPES
Oregon Other 388515 MEDICARE PTAN

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