Pony Creek Annex, Llc

LBN: Pony Creek Annex, Llc
Pony Creek Annex, Llc is an health care organization with primary practice located at 2075 Public Square Court , North Bend OR 97459-1270. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Pony Creek Annex, Llc can be contacted via phone (541) 297-9551, or through Gilbert, Jane via phone (541) 297-9551.

Contact Information

Primary practice address
2075 Public Square Court North Bend OR 97459-1270
Phone: (541) 297-9551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gilbert, Jane Doctor of Medicine (MD)
Phone: (541) 297-9551

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1538736459
LBN Legal business name Pony Creek Annex, Llc
DBA Doing business as
Authorized official Gilbert, Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2021
Last updated Jun 9th, 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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