Summit South

LBN: Elderhealth & Living
Summit South is an health care organization with primary practice located at 382 S 58Th St , Springfield OR 97478-7623. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Elderhealth & Living can be contacted via phone (541) 747-4858, or through Koll, Nancy J via phone (541) 747-4858.

Contact Information

Primary practice address
382 S 58Th St Springfield OR 97478-7623
Phone: (541) 747-4858
Fax: (541) 747-8314
Website:
Map and Directions
Authorized official contact:
Name: Koll, Nancy J
Phone: (541) 747-4858

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 516389 Oregon

Profile Details

NPI number 1912258443
LBN Legal business name Elderhealth & Living
DBA Doing business as Summit South
Authorized official Koll, Nancy J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2012
Last updated Sep 24th, 2012 - about 12 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 1912258443 NPPES
Oregon MEDICAID 516389

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