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:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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