Eden Practitioners

LBN: Eden Practitioners Llc
Eden Practitioners is an health care organization with primary practice located at 843 E Main St Ste 204 , Medford OR 97504-7137. The organization recently has 6 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Eden Practitioners Llc can be contacted via phone (541) 329-0478, or through Fickes, Dane via phone (541) 329-0478.

Contact Information

Primary practice address
843 E Main St Ste 204 Medford OR 97504-7137
Phone: (541) 329-0478
Fax: (541) 314-9556
Website:
Map and Directions
Authorized official contact:
Name: Fickes, Dane
Phone: (541) 329-0478

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1376219147
LBN Legal business name Eden Practitioners Llc
DBA Doing business as Eden Practitioners
Authorized official Fickes, Dane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2021
Last updated Aug 12th, 2022 - about 2 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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