ALDER MEDICAL CENTER PC NPI 1063400968

NPI Information

  • NPI: 1063400968
  • Provider Name: ALDER MEDICAL CENTER PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ALDER MEDICAL CENTER
  • Address: 412 ALDER ST
    BROOKINGS, OR
    ZIP 97415
  • Phone: (541) 469-5919

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NPI Details

ALDER MEDICAL CENTER PC is a family medicine in Brookings, 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. ALDER MEDICAL CENTER PC NPI is 1063400968. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alder Medical Center.

The provider's business location address is:

412 ALDER ST
BROOKINGS, OR
ZIP 97415-014
Phone: (541) 469-5919
Fax: (541) 469-6710

The provider's authorized official is Kelly Hough Lowther .
The authorized official title is President and has the following contact phone number (541) 469-5919.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD22599OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1288201MEDICAIDOREGON

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: 11/21/2025

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