Gastroenterology Of Central Oregon

LBN: Glenn M Koteen M.D., Llc
Gastroenterology Of Central Oregon is an health care organization with primary practice located at 2450 Ne Mary Rose Pl Ste 210, Bend OR 97701-7132. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Glenn M Koteen M.D., Llc can be contacted via phone (541) 728-0535, or through Koteen, Glenn M via phone (541) 728-0535.

Contact Information

Primary practice address
2450 Ne Mary Rose Pl Ste 210 Bend OR 97701-7132
Phone: (541) 728-0535
Fax: (541) 647-5125
Website:
Map and Directions
Authorized official contact:
Name: Koteen, Glenn M Doctor of Medicine (MD)
Phone: (541) 728-0535

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD25338 Oregon

Profile Details

NPI number 1407021348
LBN Legal business name Glenn M Koteen M.D., Llc
DBA Doing business as Gastroenterology Of Central Oregon
Authorized official Koteen, Glenn M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Nov 14th, 2008 - about 18 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 1407021348 NPPES
Oregon Other 120175 MEDICARE #
Oregon MEDICAID 022737 MEDICARE #

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