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Village Healthcare Of La Grande, Inc.
Point of Service in Corvallis, Oregon
NPI 1154555076

Village Healthcare Of La Grande, Inc. is a Point of Service based in Corvallis, OR. Village Healthcare Of La Grande, Inc. practices in Corvallis, OR. The NPI Number for Village Healthcare Of La Grande, Inc. is 1154555076 and holds a License No. 200450130NP (Oregon).

The current practice location address for Village Healthcare Of La Grande, Inc. is 656 Nw Mirador Pl, Corvallis, OR and can be reached out via phone at 541-624-2040 and via fax at 503-200-2258. You can also correspond with Village Healthcare Of La Grande, Inc. through the mailing address at 656 NW MIRADOR PL, CORVALLIS, OR - 97330-4698 (mailing address contact number: 541-552-0386).

Location: 656 Nw Mirador Pl, Corvallis, OR, 97330-4698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154555076
Provider Name
Village Healthcare Of La Grande, Inc.
Credential
Provider Entity Type
Organization
Address
656 Nw Mirador Pl, Corvallis, OR, 97330-4698
Phone Number
541-624-2040
Fax Number
503-200-2258
Provider Enumeration Date
05/06/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131713 05 OR
269505 05 OR
institution
Provider Business Practice Location Address Details
Address
656 Nw Mirador Pl
City
Corvallis
State
Oregon
Zip
97330-4698
Phone Number
541-624-2040
Fax Number
503-200-2258
person
Provider Business Mailing Address Details
Address
656 Nw Mirador Pl
City
Corvallis
State
Oregon
Zip
97330-4698
Phone Number
541-624-2040
Fax Number
503-200-2258
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
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).
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
200450130NP (Oregon)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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