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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CENTENNIAL MEDICAL GROUP EAST, LLC

Active Organization

CENTENNIAL MEDICAL GROUP EAST, LLC is a Rural Health Clinic organization located in ROSEBURG, Oregon. NPI 1235688805 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · ROSEBURG, OR

Registration Details

NPI Number
1235688805
Provider Type
Organization
NPI Issued
Sep 23, 2016 (9.9140643438778 yrs)
Last Updated
May 1, 2020
Licenses
MD12182 (OR)
38-3896 (OR)

Practice Information

Address
1937 W HARVARD AVE
ROSEBURG, OR, 974712720
Browse OR providers · Browse ZIP 97471
Phone
5416777200
Fax
5412293309
Primary Specialty
Rural Health Clinic
261QR1300X
Additional Specialty
Rural Health Clinic

Other Rural Health Clinic Organizations in ROSEBURG, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.