Healing Spirit Integrative Health Center Inc

LBN: Healing Spirit Integrative Health Center Inc
Healing Spirit Integrative Health Center Inc is an health care organization with primary practice located at 1355 Oak St Ste 100 , Eugene OR 97401-3566. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Healing Spirit Integrative Health Center Inc can be contacted via phone (541) 683-1125, or through Douglas, Carma Jb via phone (541) 683-1125.

Contact Information

Primary practice address
1355 Oak St Ste 100 Eugene OR 97401-3566
Fax: (541) 683-2049
Website:
Authorized official contact:
Name: Douglas, Carma Jb Nurse Practitioner (NP)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 200841796RN Oregon
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 201508020RN Oregon
Ambulatory Health Care Facilities / Primary Care 261QP2300X 81001432RN(N3) Oregon
Ambulatory Health Care Facilities / Primary Care 261QP2300X 080045015NS Oregon
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1013114172
LBN Legal business name Healing Spirit Integrative Health Center Inc
DBA Doing business as
Authorized official Douglas, Carma Jb Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2007
Last updated Mar 4th, 2019 - about 5 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 1013114172 NPPES
Oregon MEDICAID 500667910

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