Obsidian Urgent Care, Pc in La Grande - Family
Obsidian Urgent Care, Pc - NPI 1255498473
Obsidian Urgent Care, Pc is a Family in La Grande, Oregon. Obsidian Urgent Care, Pc practices all healthcare services and medical treatments related to Family. The NPI Number for Obsidian Urgent Care, Pc is 1255498473. The last update date is 2008-09-04.
Obsidian Urgent Care, Pc's current location address is 401 Adams Ave, La Grande, Oregon. You can contact this provider via phone number 5419627407 and fax number 5419627479. The mailing address for Obsidian Urgent Care, Pc is 401 Adams Ave, La Grande, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Obsidian Urgent Care, Pc |
|---|---|
| Address | 401 Adams Ave, La Grande, Oregon |
| Phone Number | 5419627407 |
| Fax Number | 5419627479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leone J Daniel |
| Credentials | F.N.P. |
| Telephone Number | 5419627407 |
NPI Number Detail
| NPI Number | 1255498473 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2008-09-04 |
Provider Mailing Address Detail
| Address | 401 Adams Ave |
|---|---|
| City | La Grande |
| State | Oregon (OR) |
| Post Code | 978501619 |
| Phone Number | 5419627407 |
| Fax Number | 5419627479 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 200050027NP- |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118286 | OR | -- | |
| 831550000 | OR | GROUP NUMBER FOR BCBS | |
| 931176109 | OR | GROUP NUMBER FOR ALL OTH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Obsidian Urgent Care, Pc by the Centers for Medicare & Medicaid Services?
The Obsidian Urgent Care, Pc has been issued the NPI (National Provider Identifier) 1255498473, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Obsidian Urgent Care, Pc?
The Obsidian Urgent Care, Pc is situated at 401 Adams Ave, in the city of La Grande, state of OR, with the zip code 978501619.
What is the area of specialization for Obsidian Urgent Care, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Obsidian Urgent Care, Pc is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
When was the Obsidian Urgent Care, Pc's 1255498473 issued?
The Obsidian Urgent Care, Pc's 1255498473 was issued on 2007-01-03.
When was the information pertaining to Obsidian Urgent Care, Pc most recently updated or revised?
The details related to Obsidian Urgent Care, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-04.
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