Southern Oregon Health And Wellness

LBN: Ventana Wellness, Pc
Southern Oregon Health And Wellness is an health care organization with primary practice located at 3156 State Street , Medford OR 97504-8450. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ventana Wellness, Pc can be contacted via phone (541) 773-9772, or through Noodleman, Frank Richard via phone (541) 773-9772.

Contact Information

Primary practice address
3156 State Street Medford OR 97504-8450
Phone: (541) 773-9772
Fax: (541) 773-1113
Website:
Map and Directions
Authorized official contact:
Name: Noodleman, Frank Richard Doctor of Medicine (MD)
Phone: (541) 773-9772

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 06-00024661 Oregon

Profile Details

NPI number 1720012339
LBN Legal business name Ventana Wellness, Pc
DBA Doing business as Southern Oregon Health And Wellness
Authorized official Noodleman, Frank Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 16th, 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 1720012339 NPPES
Oregon MEDICAID 287179

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