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DR ANNA LLC NPI 1003210600


NPI Information

NPI: 1003210600
Provider Name: DR ANNA LLC

Doing Business As: CANYONVILLE HEALTH AND URGENT CARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 38D2107406

Address:
115 S PINE ST
CANYONVILLE, OR
ZIP 97417
Phone: (541) 839-4211
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DR ANNA LLC is an internal medicine in Canyonville, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR ANNA LLC NPI is 1003210600. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyonville Health And Urgent Care.

The provider's business location address is:

115 S PINE ST
CANYONVILLE, OR
ZIP 97417-648
Phone: (541) 839-4211
Fax: (541) 839-4983

The provider's authorized official is Kristie Debaca .
The authorized official title is Office Manager and has the following contact phone number (541) 391-4053.

The CLIA number assigned to this NPI record is 38D2107406 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2014 and was last updated on 6/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2207R00000XInternal MedicineMD26035OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R141355OTHEROREGONMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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