Eagle Cap Clinic Inc Pc

LBN: Eagle Cap Clinic Inc Pc
Eagle Cap Clinic Inc Pc is an health care organization with primary practice located at 3705 Midway Dr , Baker City OR 97814. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Eagle Cap Clinic Inc Pc can be contacted via phone (541) 523-4497, or through Alanko, Randy A via phone (541) 523-4497.

Contact Information

Primary practice address
3705 Midway Dr Baker City OR 97814
Fax: (541) 523-5471
Website:
Authorized official contact:
Name: Alanko, Randy A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1356424451
LBN Legal business name Eagle Cap Clinic Inc Pc
DBA Doing business as
Authorized official Alanko, Randy A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Nov 13th, 2012 - about 13 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 1356424451 NPPES
Oregon MEDICAID 287777
Oregon MEDICAID 175828

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