Family Practice Group
LBN: Rogue Valley Physicians Pc
Family Practice Group is an health care organization with primary practice located at 229 W Stewart Ave , Medford OR 97501-3663. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Rogue Valley Physicians Pc can be contacted via phone (541) 282-8808, or through Wagner, Vicki via phone (541) 282-8817.
Contact Information
Primary practice address
229 W Stewart Ave
Medford OR 97501-3663
Phone: (541) 282-8808
Fax: (541) 681-6452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1114190121 |
|---|---|
| LBN Legal business name | Rogue Valley Physicians Pc |
| DBA Doing business as | Family Practice Group |
| Authorized official | Wagner, Vicki |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Jun 3rd, 2008 - about 16 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 | 1114190121 | NPPES |
| Oregon | MEDICAID | 218621 |
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