Optimal Health Of Southern Oregon, Llc
LBN: Optimal Health Of Southern Oregon, Llc
Optimal Health Of Southern Oregon, Llc is an health care organization with primary practice located at 1600 Nw 6Th St South Suite , Grants Pass OR 97526. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Optimal Health Of Southern Oregon, Llc can be contacted via phone (541) 507-1948, or through Heidinger, Wendell Charles via phone (541) 507-1948.
Contact Information
Primary practice address
1600 Nw 6Th St South Suite
Grants Pass OR 97526
Phone: (541) 507-1948
Fax: (541) 727-0382
Website:
Authorized official contact:
Name: Heidinger, Wendell Charles Doctor of Medicine (MD)
Phone: (541) 507-1948
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD18680 | Oregon |
Profile Details
| NPI number | 1902353907 |
|---|---|
| LBN Legal business name | Optimal Health Of Southern Oregon, Llc |
| DBA Doing business as | |
| Authorized official | Heidinger, Wendell Charles Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2016 |
| Last updated | Apr 18th, 2018 - about 6 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 | 1902353907 | NPPES |
| Oregon | MEDICAID | 190932 |
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