Providence Home Medical Equipment

LBN: Providence Health & Services Oregon
Providence Home Medical Equipment is an health care organization with primary practice located at 2508 Pringle Rd Se , Salem OR 97302-1532. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 585-4027, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
2508 Pringle Rd Se Salem OR 97302-1532
Fax: (503) 585-4741
Website:
Authorized official contact:
Name: Anderson, Donald Wayne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Oxygen Equipment & Supplies 332BX2000X NPC-0003127 Oregon

Profile Details

NPI number 1871786418
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Home Medical Equipment
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2007
Last updated Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871786418 NPPES
Oregon MEDICAID 270998

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