AMBULATORY FOOT CENTER PC; NPI #1063630291

Contact Information

AMBULATORY FOOT CENTER PC

1619 NW HAWTHORNE AVE STE 110
GRANTS PASS, OR 97526-6008

Phone: 541-471-7056
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for AMBULATORY FOOT CENTER PC

NPI # 1063630291

LBN Legal business name AMBULATORY FOOT CENTER PC

Authorized official MARK SIMCHUK - (EXCUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/23/2007

Last updated 10/29/2025 - About 7 months ago

Identifiers

License #

DP00291

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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AMBULATORY FOOT CENTER PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for AMBULATORY FOOT CENTER PC

Reviews for AMBULATORY FOOT CENTER PC