FM ASPEN MC LLC NPI 1750907473

NPI Information

NPI: 1750907473
Provider Name: FM ASPEN MC, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1025 NE PURCELL BLVD
BEND, OR
ZIP 97701
Phone: (503) 312-4300
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FM ASPEN MC, LLC is an assisted living facility in Bend, OR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FM ASPEN MC, LLC NPI is 1750907473. The provider is registered as an organization entity type.

The provider's business location address is:

1025 NE PURCELL BLVD
BEND, OR
ZIP 97701-316
Phone: (503) 312-4300
Fax: (503) 312-6674

The provider's authorized official is Gregory A. Roderick .
The authorized official title is Member and has the following contact phone number (503) 443-1818.

The enumeration date for this NPI number is 6/18/2020 and was last updated on 6/18/2020.

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
1	310400000X	Assisted Living Facility				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	524331	MEDICAID	OREGON

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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