Healther Providers Data Logo


Provider Type Icon

SNAKE RIVER PEDIATRICS NPI 1891178885


NPI Information

NPI: 1891178885
Provider Name: SNAKE RIVER PEDIATRICS
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 38D0951419

Address:
1050 SW 3RD AVE STE 3200
ONTARIO, OR
ZIP 97914
Phone: (541) 881-2380
Get Directions

SNAKE RIVER PEDIATRICS is a rural health clinic center in Ontario, OR. SNAKE RIVER PEDIATRICS NPI is 1891178885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 SW 3RD AVE STE 3200
ONTARIO, OR
ZIP 97914-560
Phone: (541) 881-2380
Fax: (541) 881-2389

The provider's authorized official is Stephen K Ames .
The authorized official title is President and has the following contact phone number (541) 881-2380.

The CLIA number assigned to this NPI record is 38D0951419 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 7/8/2015.


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
1208000000XPediatricsPA000573OREGONNo
2261QR1300XClinic/CenterRural HealthPA000573OREGONYes

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
11982791810OTHERNPI
2500608077MEDICAIDOREGON

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
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »