Snake River Pediatrics

LBN: Snake River Pediatrics
Snake River Pediatrics is an health care organization with primary practice located at 1050 Sw 3Rd Ave Ste 3200 , Ontario OR 97914-4560. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Snake River Pediatrics can be contacted via phone (541) 881-2380, or through Ames, Stephen K via phone (541) 881-2380.

Contact Information

Primary practice address
1050 Sw 3Rd Ave Ste 3200 Ontario OR 97914-4560
Fax: (541) 881-2389
Website:
Authorized official contact:
Name: Ames, Stephen K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PA000573 Oregon
Ambulatory Health Care Facilities / Rural Health 261QR1300X PA000573 Oregon

Profile Details

NPI number 1891178885
LBN Legal business name Snake River Pediatrics
DBA Doing business as
Authorized official Ames, Stephen K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2015
Last updated Jul 8th, 2015 - about 11 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 1891178885 NPPES
Other 1982791810 NPI
MEDICAID 500608077 NPI

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