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BEND MEMORIAL CLINIC PC NPI 1699827477


NPI Information

NPI: 1699827477
Provider Name: BEND MEMORIAL CLINIC PC

Doing Business As: SUMMIT HEALTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D0628274

Address:
1501 NE MEDICAL CENTER DR
BEND, OR
ZIP 97701
Phone: (541) 382-2811
Get Directions

BEND MEMORIAL CLINIC PC is a family medicine in Bend, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEND MEMORIAL CLINIC PC NPI is 1699827477. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Summit Health.

The provider's business location address is:

1501 NE MEDICAL CENTER DR
BEND, OR
ZIP 97701-051
Phone: (541) 382-2811

The provider's authorized official is Jessie Dover .
The authorized official title is Credentialing Coordinator and has the following contact phone number (541) 706-2495.

The CLIA number assigned to this NPI record is 38D0628274 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 4/21/2023.


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
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207RN0300XInternal MedicineNephrologyNo
7207ND0101XDermatologyMOHS-Micrographic SurgeryNo
8207N00000XDermatologyNo
9207RP1001XInternal MedicinePulmonary DiseaseNo
10207RR0500XInternal MedicineRheumatologyNo
11332B00000XDurable Medical Equipment & Medical SuppliesNo
12207RX0202XInternal MedicineMedical OncologyNo
13207W00000XOphthalmologyNo
14208600000XSurgeryNo
15207Q00000XFamily MedicineYes

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
1213243MEDICAIDOREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.