Roseburg Clinic Pc in Roseburg - Multi-specialty
Roseburg Clinic Pc - NPI 1023094307
Roseburg Clinic Pc is a Multi-specialty in Roseburg, Oregon. Roseburg Clinic Pc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Roseburg Clinic Pc is 1023094307. The last update date is 2008-10-10.
Roseburg Clinic Pc's current location address is 2750 W Harvard Ave, Roseburg, Oregon. You can contact this provider via phone number 5416738988 and fax number 5416728103. The mailing address for Roseburg Clinic Pc is 2750 W Harvard Ave, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roseburg Clinic Pc |
|---|---|
| Address | 2750 W Harvard Ave, Roseburg, Oregon |
| Phone Number | 5416738988 |
| Fax Number | 5416728103 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gray G Dell |
| Credentials | MA |
| Telephone Number | 5416738988 |
NPI Number Detail
| NPI Number | 1023094307 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2008-10-10 |
Provider Mailing Address Detail
| Address | 2750 W Harvard Ave |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974712608 |
| Phone Number | 5416738988 |
| Fax Number | 5416728103 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136247 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Roseburg Clinic Pc by the Centers for Medicare & Medicaid Services?
The Roseburg Clinic Pc has been assigned the NPI (National Provider Identifier) 1023094307. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Roseburg Clinic Pc's facilities are situated?
The facilities of Roseburg Clinic Pc are physically located at the following address: 2750 W Harvard Ave, Roseburg, OR, 974712608.
What is Roseburg Clinic Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Roseburg Clinic Pc is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.
On what date was the 1023094307 assigned to Roseburg Clinic Pc?
The Roseburg Clinic Pc was issued its 1023094307 on 2005-12-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Roseburg Clinic Pc most recently updated or revised?
The information pertaining to Roseburg Clinic Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-10.