Kidsdocs Pc

LBN: Kidsdocs Pc
Kidsdocs Pc is an health care organization with primary practice located at 201 Nw Medical Loop #170, Roseburg OR 97471-8821. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kidsdocs Pc can be contacted via phone (541) 957-5437, or through Groshong, Jacquelyn Outcalt via phone (541) 957-5437.

Contact Information

Primary practice address
201 Nw Medical Loop #170 Roseburg OR 97471-8821
Phone: (541) 957-5437
Fax: (541) 464-5441
Website:
Map and Directions
Authorized official contact:
Name: Groshong, Jacquelyn Outcalt Doctor of Medicine (MD)
Phone: (541) 957-5437

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1134136013
LBN Legal business name Kidsdocs Pc
DBA Doing business as
Authorized official Groshong, Jacquelyn Outcalt Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 4th, 2016 - about 10 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 1134136013 NPPES
Oregon MEDICAID 005908

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