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WILLAMETTE COMMUNITY MEDICAL GROUP LLC NPI 1649455445


NPI Information

NPI: 1649455445
Provider Name: WILLAMETTE COMMUNITY MEDICAL GROUP LLC

Doing Business As: SANTA CLARA FAMILY MEDICINE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2484 RIVER RD
EUGENE, OR
ZIP 97404
Phone: (541) 688-9140
Get Directions

WILLAMETTE COMMUNITY MEDICAL GROUP LLC 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. WILLAMETTE COMMUNITY MEDICAL GROUP LLC NPI is 1649455445. The provider is registered as an organization entity type.
The provider Is Doing Business As Santa Clara Family Medicine.

The provider's business location address is:

2484 RIVER RD
EUGENE, OR
ZIP 97404-042
Phone: (541) 688-9140
Fax: (541) 334-3378

The provider's authorized official is Debbie Brewer .
The authorized official title is Director and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 1/21/2009.


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
10714900015MEDICARE NSCOREGON

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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