Centennial Medical Group North, Llc

LBN: Centennial Medical Group North, Llc
Centennial Medical Group North, Llc is an health care organization with primary practice located at 2801 Nw Mercy Dr Ste 340 , Roseburg OR 97471-2348. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Centennial Medical Group North, Llc can be contacted via phone (541) 677-2494, or through Agarwal, Rahul via phone (541) 677-2494.

Contact Information

Primary practice address
2801 Nw Mercy Dr Ste 340 Roseburg OR 97471-2348
Phone: (541) 677-2494
Fax: (541) 677-2294
Website:
Map and Directions
Authorized official contact:
Name: Agarwal, Rahul
Phone: (541) 677-2494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X

Profile Details

NPI number 1063722262
LBN Legal business name Centennial Medical Group North, Llc
DBA Doing business as
Authorized official Agarwal, Rahul
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 21st, 2010
Last updated May 16th, 2012 - about 14 years ago

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 1063722262 NPPES
Oregon MEDICAID 500630863

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