Proactive Health Llc in Bend - Clinic/center
Proactive Health Llc - NPI 1194912808
Proactive Health Llc is a Clinic/center in Bend, Oregon. Proactive Health Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Proactive Health Llc is 1194912808. The last update date is 2016-11-16.
Proactive Health Llc's current location address is 62968 O B Riley Rd, Bend, Oregon. You can contact this provider via phone number 5413898714. The mailing address for Proactive Health Llc is 62968 O B Riley Rd, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proactive Health Llc |
|---|---|
| Address | 62968 O B Riley Rd, Bend, Oregon |
| Phone Number | 5413898714 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Hart Susan |
| Credentials | NP |
| Telephone Number | 5413898714 |
NPI Number Detail
| NPI Number | 1194912808 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2016-11-16 |
Provider Mailing Address Detail
| Address | 62968 O B Riley Rd |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977039442 |
| Phone Number | 5413898714 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 000029202N1, |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the Proactive Health Llc's unique identification number?
The Proactive Health Llc has been assigned the NPI (National Provider Identifier) Number 1194912808 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Proactive Health Llc is physically located?
The Proactive Health Llc is situated at the following address: 62968 O B Riley Rd, Bend, OR 977039442.
What is Proactive Health Llc's area of expertise and its corresponding taxonomy classification?
The Proactive Health Llc's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194912808 to Proactive Health Llc?
The Centers for Medicare & Medicaid Services originally issued the 1194912808 to Proactive Health Llc on 2007-09-26.
As of what date were the Proactive Health Llc's details last updated?
The information pertaining to the Proactive Health Llc, including its address, specialty, and other details, was most recently updated on 2016-11-16.