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PEACEHEALTH MEDICAL GROUP NPI 1134658479


NPI Information

NPI: 1134658479
Provider Name: PEACEHEALTH MEDICAL GROUP

Doing Business As: PHMG URGENT CARE VALLEY RIVER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 38D2132543

Address:
1400 VALLEY RIVER DR STE 110
EUGENE, OR
ZIP 97401
Phone: (541) 222-7378
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PEACEHEALTH MEDICAL GROUP is a durable medical equipment medical supplies in Eugene, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PEACEHEALTH MEDICAL GROUP NPI is 1134658479. The provider is registered as an organization entity type.
The provider Is Doing Business As Phmg Urgent Care Valley River.

The provider's business location address is:

1400 VALLEY RIVER DR STE 110
EUGENE, OR
ZIP 97401-758
Phone: (541) 222-7378
Fax: (541) 222-7389

The provider's authorized official is Michael Metcalf .
The authorized official title is Chief Executive Phmg and has the following contact phone number (360) 729-1743.

The CLIA number assigned to this NPI record is 38D2132543 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2017 and was last updated on 6/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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