La Grande Sd

LBN: La Grande Sd
La Grande Sd is an health care organization with primary practice located at 708 K Ave Ste 100 , La Grande OR 97850-1392. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. La Grande Sd can be contacted via phone (541) 663-3202, or through Rowell, Jay via phone (541) 663-3202.

Contact Information

Primary practice address
708 K Ave Ste 100 La Grande OR 97850-1392
Phone: (541) 663-3202
Fax: (541) 663-3211
Website:
Map and Directions
Authorized official contact:
Name: Rowell, Jay
Phone: (541) 663-3202

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1164451878
LBN Legal business name La Grande Sd
DBA Doing business as
Authorized official Rowell, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1164451878 NPPES
Oregon MEDICAID 000672

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