Cottage Grove Community Medical Ct

LBN: Peacehealth
Cottage Grove Community Medical Ct is an health care organization with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Peacehealth can be contacted via phone (541) 686-7191, or through Anderson, Liz via phone (541) 686-7034.

Contact Information

Primary practice address
1515 Village Dr Cottage Grove OR 97424-9700
Phone: (541) 686-7191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Liz
Phone: (541) 686-7034

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 400223 Oregon

Profile Details

NPI number 1902892391
LBN Legal business name Peacehealth
DBA Doing business as Cottage Grove Community Medical Ct
Authorized official Anderson, Liz
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 27th, 2013 - about 12 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 1902892391 NPPES
Oregon MEDICAID 237519

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