CENTRAL OREGON CLINICAL GENETICS CENTER, LLC – NPI #1740572221
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
CENTRAL OREGON CLINICAL GENETICS CENTER, LLC is an AHC clinic located in BEND, OR. NPPES has assigned the NPI number 1740572221 to CENTRAL OREGON CLINICAL GENETICS CENTER, LLC on May 03, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was previously updated about 14 years ago on Mar 14, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL OREGON CLINICAL GENETICS CENTER, LLC below.
NPI Profile for
CENTRAL OREGON CLINICAL GENETICS CENTER, LLC
(more than 15 years ago)
SUITE #203
BEND, OR 97702-3189 Phone: (541) 749-8196 Fax: (541) 678-5466
DIRECTOR/OWNER
Phone: (541) 749-8196
Identifiers for CENTRAL OREGON CLINICAL GENETICS CENTER, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | OR | 500637246 | |
| MEDICAID | OR | 500637292 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
OR | MD153157 |
| 291U00000X - Clinical Medical Laboratory |
CA | A46201 |
| 261QH0100X - Clinic/Center / Health Service |
OR | MD153157 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.