Providence Medical Group Camas

LBN: Providence Health & Services - Oregon
Providence Medical Group Camas is an health care organization with primary practice located at 3101 Se 192Nd Ave Suite 106, Vancouver WA 98683-1443. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (360) 553-7400, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
3101 Se 192Nd Ave Suite 106 Vancouver WA 98683-1443
Fax:
Website:
Authorized official contact:
Name: Anderson, Donald W

Profile Details

NPI number 1669765244
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Medical Group Camas
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2011
Last updated Sep 25th, 2020 - about 6 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 1669765244 NPPES
Oregon MEDICAID 500634335

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