Deschutes Juvenile Detention Center Clinic

LBN: Premise Health Of Oregon Medical P C
Deschutes Juvenile Detention Center Clinic is an health care organization with primary practice located at 63360 Britta St Ste 1 , Bend OR 97703-9475. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Premise Health Of Oregon Medical P C can be contacted via phone (541) 322-7639, or through Leizman, Jonathan via phone (216) 479-9063.

Contact Information

Primary practice address
63360 Britta St Ste 1 Bend OR 97703-9475
Phone: (541) 322-7639
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jonathan
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1891450003
LBN Legal business name Premise Health Of Oregon Medical P C
DBA Doing business as Deschutes Juvenile Detention Center Clinic
Authorized official Leizman, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2021
Last updated Oct 13th, 2022 - 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.

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