Countryside Medical Llc
LBN: Countryside Medical Llc
Countryside Medical Llc is an health care organization with primary practice located at 2355 State St Ste 101 , Salem OR 97301-4541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Countryside Medical Llc can be contacted via phone (503) 930-1854, or through Polzen, Natalie via phone (503) 930-1854.
Contact Information
Primary practice address
2355 State St Ste 101
Salem OR 97301-4541
Phone: (503) 930-1854
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
NPI number | 1467205336 |
---|---|
LBN Legal business name | Countryside Medical Llc |
DBA Doing business as | |
Authorized official | Polzen, Natalie FNP-C |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 9th, 2024 |
Last updated | Apr 9th, 2024 - about 5 months 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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