Gladstone Health Clinic

LBN: Clackamas County
Gladstone Health Clinic is an health care organization with primary practice located at 18911 Portland Ave , Gladstone OR 97027-1630. 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. Clackamas County can be contacted via phone (503) 850-4472, or through Johnson, Ed via phone (503) 742-5325.

Contact Information

Primary practice address
18911 Portland Ave Gladstone OR 97027-1630
Phone: (503) 850-4472
Fax: (503) 850-4473
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Ed
Phone: (503) 742-5325

Health care specialties

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

Profile Details

NPI number 1275880866
LBN Legal business name Clackamas County
DBA Doing business as Gladstone Health Clinic
Authorized official Johnson, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2012
Last updated Sep 24th, 2019 - about 7 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 1275880866 NPPES
Oregon MEDICAID 031799
Oregon MEDICAID 131607
Oregon MEDICAID 022710

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