AT HOME PRIMARY CARE NPI 1336596113

NPI Information

NPI: 1336596113
Provider Name: AT HOME PRIMARY CARE

Doing Business As: HOUSECALL MEDICAL SERVICES INC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
511 MAIN ST
SUITE 112
OREGON CITY, OR
ZIP 97045
Phone: (503) 344-6717
Get Directions

AT HOME PRIMARY CARE is a primary care clinic center in Oregon City, OR. AT HOME PRIMARY CARE NPI is 1336596113. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Housecall Medical Services Inc.

The provider's business location address is:

511 MAIN ST
SUITE 112
OREGON CITY, OR
ZIP 97045-830
Phone: (503) 344-6717
Fax: (503) 345-9867

The provider's authorized official is Monica Ferguson .
The authorized official title is Ceo and has the following contact phone number (503) 358-7908.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 5/20/2016.

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	363LP2300X	Nurse Practitioner	Primary Care	200650008NP	OREGON	No
2	261QP2300X	Clinic/Center	Primary Care	200650008NP	OREGON	Yes

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
1	Q69705	MEDICARE UPIN	OREGON
2	R178970	OTHER	OREGON	MEDICARE ID GROUP
3	243056	MEDICAID	OREGON
4	500678021	MEDICAID	OREGON
5	101558	MEDICARE PIN	OREGON
6	1093053431	OTHER	OREGON	NPI GROUP HMS
7	1932154366	OTHER	OREGON	NPI INDIV
8	200650008NP	OTHER	OREGON	NP LICENSE
9	R178969	OTHER	OREGON	MEDICARE ID INDIV

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: 5/5/2024

NPI Synchronization or Removal

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