Renew Clinic & Spa

LBN: Renew Healthcare Llc
Renew Clinic & Spa is an health care organization with primary practice located at 2937 Nw Highway 101 Suite 110, Lincoln City OR 97367-4442. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Renew Healthcare Llc can be contacted via phone (541) 614-0314, or through Kort, Joanne Engel via phone (503) 269-3495.

Contact Information

Primary practice address
2937 Nw Highway 101 Suite 110 Lincoln City OR 97367-4442
Phone: (541) 614-0314
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kort, Joanne Engel CNP, CNM, MPH
Phone: (503) 269-3495

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X MD18043 Oregon

Profile Details

NPI number 1063777415
LBN Legal business name Renew Healthcare Llc
DBA Doing business as Renew Clinic & Spa
Authorized official Kort, Joanne Engel CNP, CNM, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2012
Last updated Mar 7th, 2023 - about 2 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 1063777415 NPPES
Oregon Other 049796 OMAP
Oregon MEDICAID 049796 OMAP

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