PROVIDENCE HEALTH & SERVICES - OREGON – NPI #1316251036
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

PROVIDENCE HEALTH & SERVICES - OREGON is a provider located in WHEELER, OR. NPPES has assigned the NPI number 1316251036 to PROVIDENCE HEALTH & SERVICES - OREGON on August 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jul 04, 2025. 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 PROVIDENCE HEALTH & SERVICES - OREGON below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES - OREGON

NPI Number
1316251036
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other name(s)
All associated names:
Doing Business As (dba)
PROVIDENCE MEDICAL GROUP
Doing Business As (dba)
PROVIDENCE ST VINCENT HEART CLINICS CARDIOLOGY RINEHART CLINIC
Primary location
230 ROWE STREET
WHEELER, OR 97147
Phone: (503) 368-5182 Fax:
Mailing address
PO BOX 3158
PORTLAND, OR 97208-3158
Phone: Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786
Updated
Certification Date
Jul 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROVIDENCE HEALTH & SERVICES - OREGON

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.

DescriptionIssuerStateIdentifier
medicaidOR500628322
Taxonomy Code(s)

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
261Q00000X
- Clinic/Center

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.