JOURNEY HEALTH INC NPI 1487129235

NPI Information

NPI: 1487129235
Provider Name: JOURNEY HEALTH, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 38D2159708

Address:
354 NE GREENWOOD AVE STE 102
BEND, OR
ZIP 97701
Phone: (541) 350-8963
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JOURNEY HEALTH, INC is a primary care clinic center in Bend, OR. JOURNEY HEALTH, INC NPI is 1487129235. The provider is registered as an organization entity type.

The provider's business location address is:

354 NE GREENWOOD AVE STE 102
BEND, OR
ZIP 97701-631
Phone: (541) 350-8963
Fax: (541) 350-8963

The provider's authorized official is Carey Pulido .
The authorized official title is Ceo and has the following contact phone number (541) 797-4063.

The CLIA number assigned to this NPI record is 38D2159708 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 4/18/2022.

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	261QP2300X	Clinic/Center	Primary Care			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

NPI Synchronization or Removal

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