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Providence Medford Medical Center
General Acute Care Hospital in Medford, Oregon
NPI 1013944776

Providence Medford Medical Center is a General Acute Care Hospital based in Portland, OR. Providence Medford Medical Center practices in Medford, OR. The NPI Number for Providence Medford Medical Center is 1013944776 and holds a License No. (Oregon).

The current practice location address for Providence Medford Medical Center is 1111 Crater Lake Avenue, Medford, OR and can be reached out via phone at 541-732-5000 and via fax at 541-732-5131.

Location: 1111 Crater Lake Avenue, Medford, OR, 97208-3308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013944776
Provider Name
Providence Medford Medical Center
Credential
Provider Entity Type
Organization
Address
1111 Crater Lake Avenue, Medford, OR, 97208-3308
Phone Number
541-732-5000
Fax Number
541-732-5131
Provider Enumeration Date
06/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227950 05 OR
institution
Provider Business Practice Location Address Details
Address
1111 Crater Lake Avenue
City
Medford
State
Oregon
Zip
97504-6214
Phone Number
541-732-5000
Fax Number
541-732-5131
person
Provider Business Mailing Address Details
Address
1111 Crater Lake Avenue
City
Medford
State
Oregon
Zip
97504-6214
Phone Number
541-732-5000
Fax Number
541-732-5131
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Emergency Care
Taxonomy
261QE0002X
License No.
140734 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
-
Taxonomy
282N00000X
License No.
(Oregon)
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
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