COLUMBIACARE SERVICES INC NPI 1124534185

NPI Information

NPI: 1124534185
Provider Name: COLUMBIACARE SERVICES INC

Doing Business As: PONY CREEK BOARD AND CARE

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
2345 MARION ST
NORTH BEND, OR
ZIP 97459
Phone: (541) 270-0219
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COLUMBIACARE SERVICES INC is a community health clinic center in North Bend, OR. COLUMBIACARE SERVICES INC NPI is 1124534185. The provider is registered as an organization entity type.
The provider Is Doing Business As Pony Creek Board And Care.

The provider's business location address is:

2345 MARION ST
NORTH BEND, OR
ZIP 97459-637
Phone: (541) 270-0219

The provider's authorized official is Michael Sewitsky .
The authorized official title is Finance Director and has the following contact phone number (541) 858-8170.

The enumeration date for this NPI number is 12/28/2017 and was last updated on 12/28/2017.

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	261QC1500X	Clinic/Center	Community Health			Yes

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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