Applegate Valley Family Medicine, Llc in Grants Pass - Family
Applegate Valley Family Medicine, Llc - NPI 1629174495
Applegate Valley Family Medicine, Llc is a Family in Grants Pass, Oregon. Applegate Valley Family Medicine, Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Applegate Valley Family Medicine, Llc is 1629174495. The last update date is 2019-05-31.
Applegate Valley Family Medicine, Llc's current location address is 8600 New Hope Rd, Grants Pass, Oregon. You can contact this provider via phone number 5418622836 and fax number 5418622806. The mailing address for Applegate Valley Family Medicine, Llc is 8600 New Hope Rd, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Applegate Valley Family Medicine, Llc |
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Address | 8600 New Hope Rd, Grants Pass, Oregon |
Phone Number | 5418622836 |
Fax Number | 5418622806 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Fogg M Roger |
Credentials | FNP-C |
Telephone Number | 5418622836 |
NPI Number Detail
NPI Number | 1629174495 |
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Provider Enumeration Date | 2006-09-16 |
Last Updated Date | 2019-05-31 |
Provider Mailing Address Detail
Address | 8600 New Hope Rd |
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City | Grants Pass |
State | Oregon (OR) |
Post Code | 975278978 |
Phone Number | 5418622836 |
Fax Number | 5418622806 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 222705-99 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code assigned to Applegate Valley Family Medicine, Llc by the Centers for Medicare & Medicaid Services?
The Applegate Valley Family Medicine, Llc has been issued the NPI (National Provider Identifier) 1629174495, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Applegate Valley Family Medicine, Llc is located?
The Applegate Valley Family Medicine, Llc is situated at the following address: 8600 New Hope Rd, Grants Pass, OR, 975278978.
What is Applegate Valley Family Medicine, Llc's area of expertise and its corresponding taxonomy classification?
The Applegate Valley Family Medicine, Llc's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did Applegate Valley Family Medicine, Llc receive its 1629174495 assignment from the Centers for Medicare & Medicaid Services?
The Applegate Valley Family Medicine, Llc was assigned its 1629174495 on 2006-09-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Applegate Valley Family Medicine, Llc last refreshed?
The information related to the Applegate Valley Family Medicine, Llc, including its address, specialty, and other relevant details, was last updated on 2019-05-31.