MR. RALPH EMMANUEL TAGUBA PA-C NPI 1881164739

NPI Information

NPI: 1881164739
Provider Name: MR. RALPH EMMANUEL TAGUBA, PA-C
Classification: Clinic/Center - 261QF0400X
Entity Type: Individual

Specialization: Federally Qualified Health Center (FQHC)

PECOS Registration: Yes

Address:
2074 S 6TH ST
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 851-8110
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MR. Ralph Emmanuel Taguba, PA-C is a federally qualified health center (fqhc) clinic center in Klamath Falls, OR with 8 years of experience. MR. Ralph Emmanuel Taguba, PA-C NPI is 1881164739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2074 S 6TH ST
KLAMATH FALLS, OR
ZIP 97601-372
Phone: (541) 851-8110

The NPI 1881164739 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/10/2019.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes
2	363A00000X	Physician Assistant		1158708	NEVADA	No
3	363A00000X	Physician Assistant		PA191687	OREGON	No

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	170061	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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