<Unavail>

LBN: Benton County
<Unavail> is an health care organization with primary practice located at 121 Se Viewmont Ave , Corvallis OR 97333-1968. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Benton County can be contacted via phone (541) 766-3546, or through Mollel, Lacey via phone (541) 766-6835.

Contact Information

Primary practice address
121 Se Viewmont Ave Corvallis OR 97333-1968
Phone: (541) 766-3546
Fax: (541) 766-6143
Website:
Map and Directions
Authorized official contact:
Name: Mollel, Lacey
Phone: (541) 766-6835

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1982764882
LBN Legal business name Benton County
DBA Doing business as <Unavail>
Authorized official Mollel, Lacey
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 2006
Last updated May 1st, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982764882 NPPES
Other 700228501 REGENCE BCBS
MEDICAID 227701 REGENCE BCBS
Other 039328000 REGENCE BCBS

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