Sunnyside Health Clinic

LBN: Clackamas County
Sunnyside Health Clinic is an health care organization with primary practice located at 9775 Se Sunnyside Rd Ste 200 , Clackamas OR 97015-5721. 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) 794-3830, or through Johnson, Ed via phone (503) 742-5325.

Contact Information

Primary practice address
9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721
Phone: (503) 794-3830
Fax: (503) 794-3850
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 1891042487
LBN Legal business name Clackamas County
DBA Doing business as Sunnyside 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 1891042487 NPPES
Oregon MEDICAID 031799
Oregon MEDICAID 500653393
Oregon MEDICAID 131607
Oregon MEDICAID 022710

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