J1 Medical Clinic in Grants Pass - Primary Care
J1 Medical Clinic - NPI 1639195340
J1 Medical Clinic is a Primary Care in Grants Pass, Oregon. J1 Medical Clinic practices all healthcare services and medical treatments related to Primary Care. The NPI Number for J1 Medical Clinic is 1639195340. The last update date is 2020-08-22.
J1 Medical Clinic's current location address is Po Box 2196, Grants Pass, Oregon. You can contact this provider via phone number 5414710120 and fax number 5414710118. The mailing address for J1 Medical Clinic is Po Box 2196, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | J1 Medical Clinic |
|---|---|
| Address | Po Box 2196, Grants Pass, Oregon |
| Phone Number | 5414710120 |
| Fax Number | 5414710118 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Trandinh C Chutoc |
| Credentials | MD |
| Telephone Number | 5414710120 |
NPI Number Detail
| NPI Number | 1639195340 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 2196 |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975280276 |
| Phone Number | 5414710120 |
| Fax Number | 5414710118 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | MD24478 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227321 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to J1 Medical Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The J1 Medical Clinic has been assigned the NPI (National Provider Identifier) 1639195340. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where J1 Medical Clinic is physically located?
The J1 Medical Clinic is physically situated at the following address: Po Box 2196, Grants Pass, OR, 975280276.
What is J1 Medical Clinic's area of expertise and its corresponding taxonomy classification?
The J1 Medical Clinic's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1639195340 to J1 Medical Clinic?
The Centers for Medicare & Medicaid Services assigned the 1639195340 to J1 Medical Clinic on 2006-07-14.
When was the information related to J1 Medical Clinic most recently updated or refreshed?
The details pertaining to the J1 Medical Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.