NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

PROVIDENCE CONNECTIONS MEDICAL GROUP
LBN PROVIDENCE HEALTH SYSTEM OREGON SHARED SERVICES

Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

PROVIDENCE CONNECTIONS MEDICAL GROUP
LBN PROVIDENCE HEALTH SYSTEM OREGON SHARED SERVICES
6410 NE HALSEY ST
SUITE 300
PORTLAND, OR97213-4742
 Phone: 503-215-4691
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile for PROVIDENCE CONNECTIONS MEDICAL GROUP

NPI Number 1043366172
LBN Legal business name PROVIDENCE HEALTH SYSTEM OREGON SHARED SERVICES
DBA Doing business as PROVIDENCE CONNECTIONS MEDICAL GROUP
Authorized official ROB LUCK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 12/31/2013 - About 12 months ago
Identifiers
OR Medicaid 247685
OR Medicare PIN R0000WFBTC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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