Providence Health Systems

LBN: Providence Health Systems
Providence Health Systems is an health care organization with primary practice located at 10330 Se 32Nd Ave Ste 110 , Milwaukie OR 97222-6596. 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. Providence Health Systems can be contacted via phone (503) 717-3013, or through Daigle, Holly via phone (503) 513-1300.

Contact Information

Primary practice address
10330 Se 32Nd Ave Ste 110 Milwaukie OR 97222-6596
Phone: (503) 717-3013
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daigle, Holly
Phone: (503) 513-1300

Health care specialties

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

Profile Details

NPI number 1437816659
LBN Legal business name Providence Health Systems
DBA Doing business as
Authorized official Daigle, Holly
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2021
Last updated Nov 22nd, 2021 - 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 1437816659 NPPES
Oregon MEDICAID 931146501

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