High Desert Healthcare

LBN: High Desert Healthcare
High Desert Healthcare is an health care organization with primary practice located at 1251 Ne Elm Street , Prineville OR 97754. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. High Desert Healthcare can be contacted via phone (541) 447-1680, or through Knower, Michael E via phone (541) 447-1680.

Contact Information

Primary practice address
1251 Ne Elm Street Prineville OR 97754
Phone: (541) 447-1680
Fax: (541) 447-4670
Website:
Map and Directions
Authorized official contact:
Name: Knower, Michael E Doctor of Medicine (MD)
Phone: (541) 447-1680

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X MD15601 Oregon

Profile Details

NPI number 1477554921
LBN Legal business name High Desert Healthcare
DBA Doing business as
Authorized official Knower, Michael E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1477554921 NPPES
Other H3079 PACIFIC SOURCE
Other GRP331 PACIFIC SOURCE
Other CH6131 PACIFIC SOURCE
MEDICAID 213187 PACIFIC SOURCE

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