PRIMARY CARE NETWORK LLC (NPI# 1033237227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033237227 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE NETWORK LLC |
| Practice Address |
2570 Nw Edenbower Blvd Ste 100 Roseburg OR 97470-6214 |
| Mailing Address |
2570 Nw Edenbower Blvd Ste 100 Po Box 1247 Roseburg OR 97470-6214 |
| Practice Telephone | 5416777200 |
| Practice Fax Number | 5476777462 |
| Mailing Telephone | 5416777200 |
| Mailing Fax Number | 5476777462 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MELANIE WINDERS (ADMINISTRATOR) |
| Authorized Official Telephone | 5412293303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
2570 NW EDENBOWER BLVD STE 100 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417929050 | Evergreen Family Medicine, PC | Emergency Medicine | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2006-02-07 |
| 1962978866 | Kaitlyn E Bogardus | Physician Assistant | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2018-10-17 |
| 1629508957 | Natalie Moffett | Family Medicine | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2017-06-19 |
| 1427587948 | Dustin Meyers | Family Medicine | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2017-06-08 |
| 1730613837 | Alexandra Ann Blaine | Physician Assistant | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2017-04-14 |
| 1134576572 | Scott O Goebel | Physician Assistant | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2016-05-16 |
| 1912255191 | Brianna Nicole Lafayette Posen | Physician Assistant | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2012-08-20 |
| 1033406053 | Brandon W Bonds | Family Medicine | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2011-06-29 |
| 1346472347 | Nicole M Engler | Nurse Practitioner | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2009-08-10 |
| 1164627667 | Heidi Margaret Beery | Family Medicine | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296675 | 6 Degrees Health Dx | Preferred Provider Organization | 5800 Ne Pinefarm Ct Ste 200, Hillsboro, OR 97124-8563 | 2020-05-12 |
| 1366974347 | Kgs Lcsw | Preferred Provider Organization | 843 E Main St Ste 304, Medford, OR 97504-7137 | 2017-03-30 |
| 1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
| 1659721397 | Oregon Department of Corrections | Preferred Provider Organization | 17734 Sw Shasta Trl, Tualatin, OR 97062-8455 | 2016-06-14 |
| 1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
| 1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
| 1467842591 | Kevin Plummer Dc PC | Preferred Provider Organization | 1972 Laveta Ln, Eugene, OR 97402-1103 | 2015-01-27 |
| 1225445166 | Northwest Acupuncture | Preferred Provider Organization | 10224 Sw Park Way # A, Portland, OR 97225-5010 | 2014-07-11 |
| 1538579727 | Qhsa Dba Dr. Bradley J Burket Dmd, Md | Preferred Provider Organization | 2195 Ne Professional Ct Ste 1, Bend, OR 97701-6028 | 2014-04-28 |
| 1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.