Rch Hep C Program

LBN: Rch Hep C Program
Rch Hep C Program is an health care organization with primary practice located at 900 E Main St , Medford OR 97504-7136. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Rch Hep C Program can be contacted via phone (541) 842-7704, or through North, Calisa via phone (541) 842-7642.

Contact Information

Primary practice address
900 E Main St Medford OR 97504-7136
Phone: (541) 842-7704
Fax:
Website:
Map and Directions
Authorized official contact:
Name: North, Calisa
Phone: (541) 842-7642

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1578090221
LBN Legal business name Rch Hep C Program
DBA Doing business as
Authorized official North, Calisa
Entity Organization
Organization subpart 1 Yes
Enumeration date May 12th, 2017
Last updated Oct 15th, 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 1578090221 NPPES
Oregon MEDICAID 500667341
Oregon MEDICAID 227698

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