Providence Pediatric Neurology Bend

LBN: Providence Health & Services - Oregon
Providence Pediatric Neurology Bend is an health care organization with primary practice located at 2200 Ne Professional Ct , Bend OR 97701-6063. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (541) 389-6313, or through Freeman, Keenan B via phone (503) 893-6524.

Contact Information

Primary practice address
2200 Ne Professional Ct Bend OR 97701-6063
Phone: (541) 389-6313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Keenan B
Phone: (503) 893-6524

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1194996991
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Pediatric Neurology Bend
Authorized official Freeman, Keenan B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Sep 25th, 2013 - about 13 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 1194996991 NPPES
Oregon MEDICAID 279130

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