Peacehealth Riverbend Outpatient Pharmacy
LBN: Peacehealth Medical Group
Peacehealth Riverbend Outpatient Pharmacy is an health care organization with primary practice located at 3333 Riverbend Dr , Springfield OR 97477-8800. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Peacehealth Medical Group can be contacted via phone (541) 222-5800, or through Black, Brennan Duane via phone (541) 222-5800.
Contact Information
Primary practice address
3333 Riverbend Dr
Springfield OR 97477-8800
Phone: (541) 222-5800
Fax: (541) 431-9149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | RP-0000785-CS | Oregon |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAO1124 | Alaska |
| Suppliers / Specialty Pharmacy | 3336S0011X | PHNR.FO.60259219 | Washington |
Profile Details
| NPI number | 1922018639 |
|---|---|
| LBN Legal business name | Peacehealth Medical Group |
| DBA Doing business as | Peacehealth Riverbend Outpatient Pharmacy |
| Authorized official | Black, Brennan Duane PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Sep 11th, 2023 - about 2 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 | 1922018639 | NPPES |
| Oregon | MEDICAID | 053967 | |
| Oregon | Other | 2077299 |
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