Four Rivers Healthcare Clinic

LBN: Four Rivers Healthcare Clinic
Four Rivers Healthcare Clinic is an health care organization with primary practice located at 932 W Idaho Ave Ste 100 , Ontario OR 97914-2155. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family Health is the primary health care specialty. Four Rivers Healthcare Clinic can be contacted via phone (541) 889-2244, or through Stark, Jody Aileen via phone (541) 889-2244.

Contact Information

Primary practice address
932 W Idaho Ave Ste 100 Ontario OR 97914-2155
Phone: (541) 889-2244
Fax: (541) 889-2626
Website:
Map and Directions
Authorized official contact:
Name: Stark, Jody Aileen Family Nurse Practitioner (FNP)
Phone: (541) 889-2244

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200550081NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 07904 Oregon

Profile Details

NPI number 1588999007
LBN Legal business name Four Rivers Healthcare Clinic
DBA Doing business as
Authorized official Stark, Jody Aileen Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2009
Last updated Oct 16th, 2009 - about 15 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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