SOUTH CLINIC – NPI #1558475905
Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
SOUTH CLINIC is a DME supplier located in EUGENE, OR. NPPES has assigned the NPI number 1558475905 to SOUTH CLINIC on August 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH CLINIC” is a dba name, the actual legal business name for this organization is PEACEHEALTH MEDICAL GROUP. The primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.
The NPI profile was previously updated about 17 years ago on Jan 15, 2009. 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 SOUTH CLINIC below.
NPI Profile for
PEACEHEALTH MEDICAL GROUP
(about 20 years ago)
EUGENE, OR 97405-3721 Phone: (541) 687-6016 Fax:
EUGENE, OR 97402-0451 Phone: (541) 349-7683 Fax:
CFO
Phone: (541) 686-3968
Identifiers for SOUTH CLINIC
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 |
|---|---|---|---|
| OTHER | DME LICENSE NUMBER | OR | 1042230005 |
| MEDICAID | OR | 071634 |
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 |
|---|---|---|
| 332B00000X - Durable Medical Equipment & Medical Supplies (Primary) |
OR | 1042230005 |
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.