KELLY CLAYTON FNP INC NPI 1104089309

NPI Information

NPI: 1104089309
Provider Name: KELLY CLAYTON FNP INC

Doing Business As: HEALTH CARE BY HOUSE CALL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
387 PINETOP TERRACE
SHADY COVE, OR
ZIP 97539
Phone: (541) 878-3537
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KELLY CLAYTON FNP INC is a primary care clinic center in Shady Cove, OR. KELLY CLAYTON FNP INC NPI is 1104089309. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Care By House Call.

The provider's business location address is:

387 PINETOP TERRACE
SHADY COVE, OR
ZIP 97539
Phone: (541) 878-3537

The provider's authorized official is Kelly Marie Clayton .
The authorized official title is President and has the following contact phone number (541) 878-3537.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

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
1	261QP2300X	Clinic/Center	Primary Care	200150078NP	OREGON	Yes

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
1	228862	MEDICAID	OREGON
2	1396744769	OTHER	OREGON	INDIVIDUAL NPI
3	P37640	MEDICARE UPIN	OREGON

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

NPI Synchronization or Removal

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