Providence Health Sys-Or Shared Svs Div
LBN: Providence Health & Services Oregon
Providence Health Sys-Or Shared Svs Div is an health care organization with primary practice located at 2033 Commerce Dr , Medford OR 97504-9744. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty.
Providence Health & Services Oregon can be contacted via phone (541) 732-6500, or through Anderson, Donald Wayne via phone (425) 525-5392.
Contact Information
Primary practice address
2033 Commerce Dr
Medford OR 97504-9744
Phone: (541) 732-6500
Fax: (541) 732-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 13-140734 | Oregon |
Profile Details
| NPI number | 1487746491 |
|---|---|
| LBN Legal business name | Providence Health & Services Oregon |
| DBA Doing business as | Providence Health Sys-Or Shared Svs Div |
| Authorized official | Anderson, Donald Wayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jan 14th, 2019 - about 5 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 | 1487746491 | NPPES |
| Oregon | Other | 303804000001 | PROVIDENCE HEALTH PLAN |
| Oregon | MEDICAID | 019773 | PROVIDENCE HEALTH PLAN |
| Oregon | Other | 930386912-05 | PROVIDENCE HEALTH PLAN |
| Oregon | Other | 026699000 | PROVIDENCE HEALTH PLAN |
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