Medford Foot & Ankle Clinic, Pc

LBN: Medford Foot & Ankle Clinic, Pc
Medford Foot & Ankle Clinic, Pc is an health care organization with primary practice located at 713 Golf View Drive , Medford OR 97504-9643. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Medford Foot & Ankle Clinic, Pc can be contacted via phone (541) 770-1225, or through Dekorte, Michael Andrew via phone (541) 770-1225.

Contact Information

Primary practice address
713 Golf View Drive Medford OR 97504-9643
Phone: (541) 770-1225
Fax: (541) 770-1245
Website:
Map and Directions
Authorized official contact:
Name: Dekorte, Michael Andrew Doctor of Podiatric Medicine (DPM)
Phone: (541) 770-1225

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1508967886
LBN Legal business name Medford Foot & Ankle Clinic, Pc
DBA Doing business as
Authorized official Dekorte, Michael Andrew Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 5th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508967886 NPPES
Oregon MEDICAID 240546
Oregon Other 023677000

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