Shady Cove Clinic

LBN: Kathleen S Finley
Shady Cove Clinic is an health care organization with primary practice located at 21990 Hwy 62 , Shady Cove OR 97539-9717. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Kathleen S Finley can be contacted via phone (541) 878-2022, or through Finley, Glen via phone (541) 830-0333.

Contact Information

Primary practice address
21990 Hwy 62 Shady Cove OR 97539-9717
Phone: (541) 878-2022
Fax: (541) 878-1498
Website:
Map and Directions
Authorized official contact:
Name: Finley, Glen
Phone: (541) 830-0333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1609850940
LBN Legal business name Kathleen S Finley
DBA Doing business as Shady Cove Clinic
Authorized official Finley, Glen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Jan 30th, 2013 - about 11 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 1609850940 NPPES
Oregon MEDICAID 123633

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