MCKENZIE WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC NPI 1528006301

NPI Information

NPI: 1528006301
Provider Name: MCKENZIE WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC

Doing Business As: MCKENZIE-WILLAMETTE MEDICAL CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1460 G ST
SPRINGFIELD, OR
ZIP 97477
Phone: (541) 726-4401
Get Directions

MCKENZIE WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC is a cardiovascular disease internal medicine in Springfield, OR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MCKENZIE WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC NPI is 1528006301. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mckenzie-willamette Medical Center.

The provider's business location address is:

1460 G ST
SPRINGFIELD, OR
ZIP 97477-112
Phone: (541) 726-4401
Fax: (541) 726-4540

The provider's authorized official is Rebecca Hurley .
The authorized official title is Senior Vice President and has the following contact phone number (214) 473-7000.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/22/2020.

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	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	X
3	2085R0202X	Radiology	Diagnostic Radiology	X
4	246W00000X	Technician, Cardiology		X
5	246X00000X	Specialist/Technologist Cardiovascular		X

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	232828	MEDICAID	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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