Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem
LBN: Providence Health & Services Oregon
Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem is an health care organization with primary practice located at 5050 Skyline Village Loop S , Salem OR 97306-9490. 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) 291-2123, or through Freeman, Keenan B via phone (503) 893-6524.
Contact Information
Primary practice address
5050 Skyline Village Loop S
Salem OR 97306-9490
Phone: (503) 291-2123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1265743330 |
|---|---|
| LBN Legal business name | Providence Health & Services Oregon |
| DBA Doing business as | Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem |
| Authorized official | Freeman, Keenan B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Nov 20th, 2014 - about 10 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 | 1265743330 | NPPES |
| Oregon | MEDICAID | 500630291 |
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