Pacificsource Pace, Llc

LBN: Pacificsource Pace, Llc
Pacificsource Pace, Llc is an health care organization with primary practice located at 555 International Way Ste B104 , Springfield OR 97477-6013. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Pacificsource Pace, Llc can be contacted via phone (458) 544-0400, or through Kernutt, Kristin via phone (541) 225-1967.

Contact Information

Primary practice address
555 International Way Ste B104 Springfield OR 97477-6013
Phone: (458) 544-0400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kernutt, Kristin JD
Phone: (541) 225-1967

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1104787704
LBN Legal business name Pacificsource Pace, Llc
DBA Doing business as
Authorized official Kernutt, Kristin JD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2025
Last updated Jul 16th, 2026 - about 3 months 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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