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ADVANCED SLEEP DISORDERS CENTER NPI 1275572125


NPI Information

NPI: 1275572125
Provider Name: ADVANCED SLEEP DISORDERS CENTER
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
700 E MAIN ST
SUITE 111
MEDFORD, OR
ZIP 97504
Phone: (541) 772-5754
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ADVANCED SLEEP DISORDERS CENTER is a sleep disorder diagnostic clinic center in Medford, OR. ADVANCED SLEEP DISORDERS CENTER NPI is 1275572125. The provider is registered as an organization entity type.

The provider's business location address is:

700 E MAIN ST
SUITE 111
MEDFORD, OR
ZIP 97504-138
Phone: (541) 772-5754
Fax: (541) 772-5734

The provider's authorized official is Sherry Lynn Scott .
The authorized official title is Billing Specialist and has the following contact phone number (541) 772-5754.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 11/6/2009.


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
1261QS1200XClinic/CenterSleep Disorder Diagnostic0600026710OREGONYes

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
15450160001MEDICARE NSCOREGON
2022811MEDICAIDOREGON
3121757MEDICARE ID-TYPE UNSPECIFIEDOREGON

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
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