Santiam Mobile Medicine Llc

LBN: Santiam Mobile Medicine Llc
Santiam Mobile Medicine Llc is an health care organization with primary practice located at 1881 W Washington St , Stayton OR 97383-9511. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Santiam Mobile Medicine Llc can be contacted via phone (503) 507-5356, or through Lulay, Casey via phone (503) 507-5356.

Contact Information

Primary practice address
1881 W Washington St Stayton OR 97383-9511
Phone: (503) 507-5356
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lulay, Casey MSN, FNP
Phone: (503) 507-5356

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1750899035
LBN Legal business name Santiam Mobile Medicine Llc
DBA Doing business as
Authorized official Lulay, Casey MSN, FNP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2018
Last updated Sep 19th, 2023 - about 3 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 1750899035 NPPES
Oregon MEDICAID 500779652
Oregon MEDICAID 500673258

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