Providence Medical Group Sherwood Immediate Care

LBN: Providence Health & Services - Oregon
Providence Medical Group Sherwood Immediate Care is an health care organization with primary practice located at 16770 Sw Edy Rd Suite 102, Sherwood OR 97140-9679. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 216-9600, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
16770 Sw Edy Rd Suite 102 Sherwood OR 97140-9679
Phone: (503) 216-9600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1013143478
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Medical Group Sherwood Immediate Care
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2009
Last updated Jul 15th, 2020 - about 4 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 1013143478 NPPES
Oregon MEDICAID 500611226

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