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PRAXIS HEALTH PC NPI 1477112803


NPI Information

NPI: 1477112803
Provider Name: PRAXIS HEALTH, PC

Former Legal Business Name: PRAXIS MEDICAL GROUP INC

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

CLIA Number: 38D2169165

Address:
1303 NE CUSHING DRIVE
SUITE 100
BEND, OR
ZIP 97701
Phone: (541) 388-2333
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PRAXIS HEALTH, PC is a durable medical equipment medical supplies in Bend, 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. PRAXIS HEALTH, PC NPI is 1477112803. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Praxis Medical Group Inc.

The provider's business location address is:

1303 NE CUSHING DRIVE
SUITE 100
BEND, OR
ZIP 97701
Phone: (541) 388-2333
Fax: (541) 388-0930

The provider's authorized official is Jessica M Reagan .
The authorized official title is Revenue Cycle Director and has the following contact phone number (541) 966-6136.

The CLIA number assigned to this NPI record is 38D2169165 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 8/27/2021.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1130225MEDICAIDOREGON

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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