Longview Orthopedic Associates, Pllc
LBN: Longview Orthopedic Associates, Pllc
Longview Orthopedic Associates, Pllc is an health care organization with primary practice located at 625 - 9Th Ave. Ste. 210, Longview WA 98632-2465. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty.
Longview Orthopedic Associates, Pllc can be contacted via phone (360) 501-3400, or through Blackstone, Bruce Gragg via phone (360) 501-3400.
Contact Information
Primary practice address
625 - 9Th Ave. Ste. 210
Longview WA 98632-2465
Phone: (360) 501-3400
Fax: (360) 423-6862
Website:
Authorized official contact:
Name: Blackstone, Bruce Gragg Doctor of Medicine (MD)
Phone: (360) 501-3400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X |
Profile Details
| NPI number | 1003865072 |
|---|---|
| LBN Legal business name | Longview Orthopedic Associates, Pllc |
| DBA Doing business as | |
| Authorized official | Blackstone, Bruce Gragg Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Apr 6th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003865072 | NPPES |
| Oregon | MEDICAID | 269896 | |
| Oregon | Other | 5445810001 | |
| Oregon | Other | DD4041 | |
| Oregon | Other | 0198037 | |
| Oregon | MEDICAID | 7127632 |
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