Hearthside Medicine Family Care

LBN: Hearthside Medicine Family Care Llc
Hearthside Medicine Family Care is an health care organization with primary practice located at 205 Nw Franklin Ave , Bend OR 97703-2801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Hearthside Medicine Family Care Llc can be contacted via phone (541) 316-5693, or through Brodhead, Havilah Noel via phone (970) 275-6108.

Contact Information

Primary practice address
205 Nw Franklin Ave Bend OR 97703-2801
Phone: (541) 316-5693
Fax: (541) 255-0947
Website:
Map and Directions
Authorized official contact:
Name: Brodhead, Havilah Noel Family Nurse Practitioner (FNP)
Phone: (970) 275-6108

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 201407546NP-PP Oregon

Profile Details

NPI number 1477051795
LBN Legal business name Hearthside Medicine Family Care Llc
DBA Doing business as Hearthside Medicine Family Care
Authorized official Brodhead, Havilah Noel Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2018
Last updated Nov 13th, 2018 - about 8 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 1477051795 NPPES
Oregon MEDICAID 500678393

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