Providence Medford Medical Center
LBN: Providence Health & Services Oregon
Providence Medford Medical Center is an health care organization with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty.
Providence Health & Services Oregon can be contacted via phone (503) 215-4323, or through Anderson, Donald W via phone (425) 525-5392.
Contact Information
Primary practice address
1111 Crater Lake Ave
Medford OR 97504-6241
Phone: (503) 215-4323
Fax: (503) 215-0297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ||
| Hospitals / General Acute Care Hospital | 282N00000X |
Profile Details
| NPI number | 1689755670 |
|---|---|
| LBN Legal business name | Providence Health & Services Oregon |
| DBA Doing business as | Providence Medford Medical Center |
| Authorized official | Anderson, Donald W |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Dec 7th, 2021 - about 3 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 | 1689755670 | NPPES |
| Oregon | Other | 24861 | WA DEPT OF LABOR |
| Oregon | Other | C45121 | WA DEPT OF LABOR |
| Oregon | Other | 3030202 | WA DEPT OF LABOR |
| Oregon | Other | R0000ZGBJC | WA DEPT OF LABOR |
| Oregon | Other | 194077900 | WA DEPT OF LABOR |
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