NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK NPI 1285164921

NPI Information

NPI: 1285164921
Provider Name: NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK

Doing Business As: ADVENTIST HEALTH TILLAMOOK MEDICAL GROUP - VERNONIA

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1005 COUGAR ST
VERNONIA, OR
ZIP 97064
Phone: (503) 842-4444
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NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK is a rural health clinic center in Vernonia, OR. NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK NPI is 1285164921. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Tillamook Medical Group - Vernonia.

The provider's business location address is:

1005 COUGAR ST
VERNONIA, OR
ZIP 97064-282
Phone: (503) 842-4444

The provider's authorized official is Micah Smith .
The authorized official title is Fo and has the following contact phone number (503) 815-2263.

The CLIA number assigned to this NPI record is 38D2132856 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 1/14/2022.

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
1	282NC0060X	General Acute Care Hospital	Critical Access	141177	OREGON	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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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