Siskiyou Vital Medicine Llc

LBN: Siskiyou Vital Medicine Llc
Siskiyou Vital Medicine Llc is an health care organization with primary practice located at 940 Ellendale Dr # 102 , Medford OR 97504-8216. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Siskiyou Vital Medicine Llc can be contacted via phone (541) 210-5687, or through Duncan, Gregory Mcclane via phone (541) 210-5687.

Contact Information

Primary practice address
940 Ellendale Dr # 102 Medford OR 97504-8216
Phone: (541) 210-5687
Fax: (541) 392-4962
Website:
Map and Directions
Authorized official contact:
Name: Duncan, Gregory Mcclane ND
Phone: (541) 210-5687

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1407442338
LBN Legal business name Siskiyou Vital Medicine Llc
DBA Doing business as
Authorized official Duncan, Gregory Mcclane ND
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2020
Last updated Dec 15th, 2020 - 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.

Request for update

Popular Providers