Providence Medford Medical Center

NPI 1013944776 - General Acute Care Hospital - 282N00000X

NPI Details
NPI 1013944776
Enumeration Date 06/27/2006
Last Updated 09/08/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS E THOMAS
Position CEO
Phone (541) 732-5000
Fax (541) 732-5131
Practice Location
1111 CRATER LAKE AVENUE
MEDFORD OR, 97504-6214, US
Phone (541) 732-5000
Fax (541) 732-5131
Business Location
P.O. BOX 3308
PORTLAND OR, 97208-3308, US
Phone (503) 215-4050
Fax (503) 215-4343
Toxanomy
Taxonomy Code 282N00000X
License State Oregon
License Number 140734
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According to our database, Providence Medford Medical Center NPI is 1013944776, taxonomy code is 282N00000X and license number is 140734, license state is located at Oregon. Providence Medford Medical Center physically located at 1111 Crater Lake Avenue, Medford OR, 97504-6214. NPI Number 1033115704 has the healthcare provider type.

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1013944776 NPI number is provided on an as is basis without warranty of any kind. 1013944776 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Medford Medical Center are for informational purposes only.