Village Healthcare Of Corvallis
LBN: Village Healthcare Of La Grande, Inc.
Village Healthcare Of Corvallis is an health care organization with primary practice located at 656 Nw Mirador Pl , Corvallis OR 97330-4698. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Managed Care Organizations / Point of Service. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Village Healthcare Of La Grande, Inc. can be contacted via phone (541) 624-2040, or through Edwards, Renee via phone (541) 552-0386.
Contact Information
Primary practice address
656 Nw Mirador Pl
Corvallis OR 97330-4698
Phone: (541) 624-2040
Fax: (503) 200-2258
Website:
Authorized official contact:
Name: Edwards, Renee Family Nurse Practitioner (FNP)
Phone: (541) 552-0386
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 200450130NP | Oregon |
| Managed Care Organizations / Point of Service | 305S00000X |
Profile Details
| NPI number | 1154555076 |
|---|---|
| LBN Legal business name | Village Healthcare Of La Grande, Inc. |
| DBA Doing business as | Village Healthcare Of Corvallis |
| Authorized official | Edwards, Renee Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 6th, 2009 |
| Last updated | Nov 19th, 2019 - about 6 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 | 1154555076 | NPPES |
| Oregon | MEDICAID | 131713 | |
| Oregon | MEDICAID | 269505 |
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