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Providence Health & Services Oregon
Home Health Agency in Medford, Oregon
NPI 1487746491

Providence Health & Services Oregon is a Home Health Agency based in Portland, OR. Providence Health & Services Oregon practices in Medford, OR. The NPI Number for Providence Health & Services Oregon is 1487746491 and holds a License No. 13-140734 (Oregon).

The current practice location address for Providence Health & Services Oregon is 2033 Commerce Dr, Medford, OR and can be reached out via phone at 541-732-6500 and via fax at 541-732-6504.

Location: 2033 Commerce Dr, Medford, OR, 97213-1545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487746491
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
2033 Commerce Dr, Medford, OR, 97213-1545
Phone Number
541-732-6500
Fax Number
541-732-6504
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303804000001 01 OR PROVIDENCE HEALTH PLAN
019773 05 OR
930386912-05 01 OR ODS
026699000 01 OR BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2033 Commerce Dr
City
Medford
State
Oregon
Zip
97504-9744
Phone Number
541-732-6500
Fax Number
541-732-6504
person
Provider Business Mailing Address Details
Address
2033 Commerce Dr
City
Medford
State
Oregon
Zip
97504-9744
Phone Number
541-732-6500
Fax Number
541-732-6504
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
13-140734 (Oregon)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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