Serenity Lane is a Multi-specialty in Coburg, Oregon. Serenity Lane practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Serenity Lane is 1104934892. The last update date is 2023-04-05.
Serenity Lane's current location address is P.o. Box 8549, Coburg, Oregon. You can contact this provider via phone number 5412848605 and fax number 5416879041. The mailing address for Serenity Lane is P.o. Box 8549, Coburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Serenity Lane |
|---|---|
| Address | P.o. Box 8549, Coburg, Oregon |
| Phone Number | 5412848605 |
| Fax Number | 5416879041 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Carlin Brian |
| Telephone Number | 5412848617 |
NPI Number Detail
| NPI Number | 1104934892 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2023-04-05 |
Provider Mailing Address Detail
| Address | P.o. Box 8549 |
|---|---|
| City | Coburg |
| State | Oregon (OR) |
| Post Code | 97408 |
| Phone Number | 5412848605 |
| Fax Number | 5416879041 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
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Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the unique provider identifier assigned to Serenity Lane?
The Serenity Lane has been issued the NPI (National Provider Identifier) 1104934892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Serenity Lane located?
The Serenity Lane is located at P.O. Box 8549, Coburg, OR 97408.
What is Serenity Lane's area of expertise and its corresponding taxonomy classification?
The Serenity Lane's field of specialization is Multi-specialty, and it falls under the taxonomy code 261Qm1300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1104934892 to Serenity Lane?
The Serenity Lane received its 1104934892 assignment from the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information regarding Serenity Lane most recently updated?
The details pertaining to the Serenity Lane, including its address, specialty, and other relevant information, were last refreshed on 2023-04-05.
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