Providence Health & Services Oregon, NPI 1487746491
Home Health Agency in Medford, OR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1487746491 |
| NPI Entity Type | Organization |
| Provider Name |
Providence Health & Services Oregon
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2033 Commerce Dr, Medford, OR, US |
| Provider Mailing Address | 4400 Ne Halsey St, Building 1, Ste 129, Portland, OR, US, 972131545 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Donald Wayne Anderson |
| Official Position | ASST CORP SECRETARY FOR ENROLLMENTS |
| Phone | 425-525-5392 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| License No. | 13-140734 |
| License State | OR |
| Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 303804000001 | OR | PROVIDENCE HEALTH PLAN | 01 |
| 019773 | OR | MEDICAID | 05 |
| 930386912-05 | OR | ODS | 01 |
| 026699000 | OR | BLUE CROSS | 01 |
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MD Sherilyn M Destefano Individual |
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