Pmg South Cardiovascular Surgery

LBN: Sisters Of Providence In Oregon
Pmg South Cardiovascular Surgery is an health care organization with primary practice located at 940 Royal Ave Suite 450, Medford OR 97504-6193. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Sisters Of Providence In Oregon can be contacted via phone (541) 732-7850, or through Jackson, John via phone (541) 732-6000.

Contact Information

Primary practice address
940 Royal Ave Suite 450 Medford OR 97504-6193
Phone: (541) 732-7850
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, John Doctor of Medicine (MD)
Phone: (541) 732-6000

Health care specialties

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

Profile Details

NPI number 1568689701
LBN Legal business name Sisters Of Providence In Oregon
DBA Doing business as Pmg South Cardiovascular Surgery
Authorized official Jackson, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 19th, 2007
Last updated Oct 30th, 2007 - about 18 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 1568689701 NPPES
Oregon Other CG6801 RAIL ROAD MEDICARE

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