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Contact Information

POTENTIAL UNLIMITED
850 SISKIYOU BLVD
SUITE 9
ASHLAND, OR97520-2125
 Phone: 541-482-2780
 Fax: 541-482-2780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for POTENTIAL UNLIMITED

NPI # 1710150875
LBN Legal business name POTENTIAL UNLIMITED
Authorized official SUSAN BERRYHILL - (CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2008
Last updated 04/10/2008 - About 18 years ago
Identifiers
OR License # C0060
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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