Providence St Vincent Heart Clinic Heart Rhythm At Newberg

LBN: Providence Health & Services - Oregon
Providence St Vincent Heart Clinic Heart Rhythm At Newberg is an health care organization with primary practice located at 1003 Providence Dr Suite 325, Newberg OR 97132-7521. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 216-0770, or through Freeman, Keenan B via phone (503) 893-6524.

Contact Information

Primary practice address
1003 Providence Dr Suite 325 Newberg OR 97132-7521
Phone: (503) 216-0770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Keenan B
Phone: (503) 893-6524

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1225378615
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence St Vincent Heart Clinic Heart Rhythm At Newberg
Authorized official Freeman, Keenan B
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2013
Last updated Apr 21st, 2017 - about 7 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 1225378615 NPPES
Oregon MEDICAID 500655723

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