HOLMES FAMILY PRACTICE PC NPI 1972173235

NPI Information

NPI: 1972173235
Provider Name: HOLMES FAMILY PRACTICE, PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: HOLMES FAMILY CARE
CLIA Number: 38D2263415
Address: 2564 NW EDENBOWER BLVD, SUITE 126
ROSEBURG, OR
ZIP 97471
Phone: (541) 672-7718

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NPI Details

HOLMES FAMILY PRACTICE, PC is a primary care clinic center in Roseburg, OR. HOLMES FAMILY PRACTICE, PC NPI is 1972173235. The provider is registered as an organization entity type.
The provider Is Doing Business As Holmes Family Care.

The provider's business location address is:

2564 NW EDENBOWER BLVD, SUITE 126
ROSEBURG, OR
ZIP 97471
Phone: (541) 672-7718

The provider's authorized official is Heather Holmes .
The authorized official title is Physician/owner and has the following contact phone number (541) 672-7718.

The CLIA number assigned to this NPI record is 38D2263415 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/29/2021 and was last updated on 11/2/2023.

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

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	500803863	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: 11/21/2025

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