Judith A King Mn Fnp Pc
LBN: Judith A King Mn Fnp Pc
Judith A King Mn Fnp Pc is an health care organization with primary practice located at 124 Nw Midland Ave , Grants Pass OR 97526-1269. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty.
Judith A King Mn Fnp Pc can be contacted via phone (541) 474-5665, or through King, Judith A via phone (541) 474-5665.
Contact Information
Primary practice address
124 Nw Midland Ave
Grants Pass OR 97526-1269
Phone: (541) 474-5665
Fax: (541) 474-4435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 000037306N1 | Oregon |
Profile Details
| NPI number | 1154621613 |
|---|---|
| LBN Legal business name | Judith A King Mn Fnp Pc |
| DBA Doing business as | |
| Authorized official | King, Judith A FAMILY NURSE PRACTIT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2010 |
| Last updated | Dec 14th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154621613 | NPPES |
| Oregon | Other | 900109622 | MEDICARE RR |
| Oregon | Other | 108613 | MEDICARE RR |
| Oregon | Other | R108613 | MEDICARE RR |
| Oregon | MEDICAID | 074450 | MEDICARE RR |
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