PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1336459460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336459460 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Other Organization Name | PROVIDENCE ST VINCENT HEART CLINIC HEART RHYTHM SPRINGFIELD |
| Practice Address |
960 N 16th St Suite 304 Springfield OR 97477-4175 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417446172 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | KEENAN B FREEMAN (CFO) |
| Authorized Official Telephone | 5038936524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500630280 | 05 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE ST VINCENT HEART CLINIC HEART RHYTHM SPRINGFIELD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| 1023440435 | Providence Health & Services - Oregon | General Acute Care Hospital | 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 | 2013-08-08 |
| 1568793313 | Providence Health & Services - Oregon | Clinic/Center | 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | 2010-01-19 |
| 1508015348 | Providence Health & Services - Oregon | Clinic/Center | 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015-6302 | 2008-09-17 |
| 1114085545 | Providence Health & Services - Oregon | Internal Medicine | 1314 E Sherman St, Newberg, OR 97132-1842 | 2006-12-05 |
| 1629146121 | Providence Health & Services - Oregon | Otolaryngology | 310 Villa Rd, Suite 104, Newberg, OR 97132-1886 | 2006-12-01 |
| 1992882500 | Providence Health & Services - Oregon | Clinic/Center | 205 N Phoenix Rd, Suite A, Phoenix, OR 97535-9104 | 2006-11-01 |
| 1013018175 | Providence Health & Services - Oregon | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2006-09-25 |
| 1447799523 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd Ste 170, Medford, OR 97504-5590 | 2017-02-22 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Oregon | 1801 Lind Avenue, Sw, Renton, WA 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545 |
| Iowa Business Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave. Sw, Renton, WA 98057 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
960 N 16TH ST SUITE 304 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-4175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379824 | Jay H Chappell | Internal Medicine | 960 N 16th St, Suite 304, Springfield, OR 97477-4175 | 2005-07-12 |
| 1619134491 | Steven L Wilhite | Surgery | 960 N 16th St, Suite 203, Springfield, OR 97477-4175 | 2008-05-20 |
| 1609042431 | Jeffrey Michael Paulsen | Internal Medicine | 960 N 16th St, Suite 304, Springfield, OR 97477-4175 | 2008-05-01 |
| 1942475249 | Radiology Associates PC | Radiology | 960 N 16th St, Suite 10, Springfield, OR 97477-4175 | 2008-04-28 |
| 1851470967 | Stephen Peter Holland | Internal Medicine | 960 N 16th St, Springfield, OR 97477-4175 | 2006-11-02 |
| 1073600938 | Jose Viramontes Jr. | Surgery | 960 N 16th St, Suite 108, Springfield, OR 97477-4175 | 2006-10-10 |
| 1114969532 | Mckenzie Medical Imaging PC | Specialist | 960 N 16th St, Suite 105, Springfield, OR 97477-4175 | 2006-06-11 |
| 1487609426 | M. R . Imaging Associates Limited Partnership | Clinic/Center | 960 N 16th St, Suite 10, Springfield, OR 97477-4175 | 2006-05-24 |
| 1538122759 | Kenneth Baker | Surgery | 960 N 16th St, Ste. 304, Springfield, OR 97477-4175 | 2006-04-10 |
| 1346202983 | Richard Whalen | General Practice | 960 N 16th St, Ste. 304, Springfield, OR 97477-4175 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046700 | Guan Yuan Pllc | Clinic/Center | 7008 Catlett St, Springfield, VA 22151-3901 | 2020-09-02 |
| 1194344713 | Snooze Laboratories, Inc | Clinic/Center | 122 Chestnut St Apt 101, Springfield, MA 01103-1541 | 2020-04-14 |
| 1922414846 | Planned Parenthood of Illinois | Clinic/Center | 1000 E. Washington St., Springfield, IL 62703-1048 | 2014-07-11 |
| 1841537966 | Village Family Medicine, LLC | Clinic/Center | 31330 Highway 22, Suite 101, Springfield, LA 70462-7427 | 2013-01-09 |
| 1770868457 | Walgreens Pharmacy #12427 | Clinic/Center | 2305 W Monroe, Springfield, IL 62704 | 2011-10-13 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1356643498 | Medical Necessities Inc | Clinic/Center | 205 5th Ave E, Springfield, TN 37172-2435 | 2010-11-22 |
| 1003124587 | James M. Carmichael, Dc PC | Clinic/Center | 3108 S Fremont Ave, Springfield, MO 65804-4211 | 2010-09-19 |
| 1114231305 | Imaging Miracles Lc | Clinic/Center | 3827 S Timbercreek Ave, Suite B, Springfield, MO 65807-5685 | 2010-07-30 |
| 1174793855 | American Current Care of Massachusetts PC | Clinic/Center | 140 Carando Road, Springfield, MA 01104-3296 | 2008-03-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES - OREGON.
| 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.