Green Mountain Medical Clinic Pc in Oakridge - Primary Care
Green Mountain Medical Clinic Pc - NPI 1912188715
Green Mountain Medical Clinic Pc is a Primary Care in Oakridge, Oregon. Green Mountain Medical Clinic Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Green Mountain Medical Clinic Pc is 1912188715. The last update date is 2010-10-20.
Green Mountain Medical Clinic Pc's current location address is 48260 Hills St, Oakridge, Oregon. You can contact this provider via phone number 5417824201 and fax number 5417824203. The mailing address for Green Mountain Medical Clinic Pc is 48260 Hills St, Oakridge, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Mountain Medical Clinic Pc |
|---|---|
| Address | 48260 Hills St, Oakridge, Oregon |
| Phone Number | 5417824201 |
| Fax Number | 5417824203 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Griffith George Warren |
| Credentials | D.O. |
| Telephone Number | 5417824201 |
NPI Number Detail
| NPI Number | 1912188715 |
|---|---|
| Provider Enumeration Date | 2007-11-20 |
| Last Updated Date | 2010-10-20 |
Provider Mailing Address Detail
| Address | 48260 Hills St |
|---|---|
| City | Oakridge |
| State | Oregon (OR) |
| Post Code | 974639409 |
| Phone Number | 5417824201 |
| Fax Number | 5417824203 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | DO10127 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 231498 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Green Mountain Medical Clinic Pc by the Centers for Medicare & Medicaid Services?
The Green Mountain Medical Clinic Pc has been assigned the NPI (National Provider Identifier) 1912188715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Green Mountain Medical Clinic Pc's facilities are geographically located?
The facilities of Green Mountain Medical Clinic Pc are physically situated at the following location: 48260 Hills St, Oakridge, OR, 974639409.
What is Green Mountain Medical Clinic Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Green Mountain Medical Clinic Pc's specialized field of practice is Primary Care, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp2300X.
On what date was the 1912188715 assigned to Green Mountain Medical Clinic Pc?
The Green Mountain Medical Clinic Pc was issued its 1912188715 on 2007-11-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Green Mountain Medical Clinic Pc most recently updated?
The details pertaining to the Green Mountain Medical Clinic Pc, including its address, specialty, and other relevant information, were last refreshed on 2010-10-20.