ROSEBURG VA HEALTHCARE SYSTEM NPI 1992737464

NPI Information

NPI: 1992737464
Provider Name: ROSEBURG VA HEALTHCARE SYSTEM

Other Name: EUGENE RIVER AVENUE CLINIC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR
ZIP 97470
Phone: (541) 607-7584
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ROSEBURG VA HEALTHCARE SYSTEM is an adult mental health clinic center in Roseburg, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ROSEBURG VA HEALTHCARE SYSTEM NPI is 1992737464. The provider is registered as an organization entity type.
The provider Other Name Is Eugene River Avenue Clinic.

The provider's business location address is:

913 NW GARDEN VALLEY BLVD
ROSEBURG, OR
ZIP 97470-513
Phone: (541) 607-7584
Fax: (541) 600-7581

The provider's authorized official is George Marnell .
The authorized official title is Medical Center Director and has the following contact phone number (541) 440-1000.

The enumeration date for this NPI number is 7/7/2006 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	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	1177	OREGON	Yes
2	261QM1300X	Clinic/Center	Multi-Specialty	1177	OREGON	X
3	282NR1301X	General Acute Care Hospital	Rural	1177	OREGON	X

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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