Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CENTENNIAL MEDICAL GROUP EAST, LLC
Active OrganizationCENTENNIAL MEDICAL GROUP EAST, LLC is a Rural Health Clinic organization located in MYRTLE CREEK, Oregon. NPI 1699103598 is currently active in the NPPES registry. Verify at CMS.
Rural Health Clinic · MYRTLE CREEK, OR
Registration Details
- NPI Number
- 1699103598
- Provider Type
- Organization
- NPI Issued
- Oct 31, 2013 (12.777763359529 yrs)
- Last Updated
- Nov 22, 2016
- License
-
71216890 (OR)
Practice Information
- Address
-
145 NE BROADWAY STMYRTLE CREEK, OR, 974579039Browse OR providers · Browse ZIP 97457
- Phone
- 5418633146
- Fax
- 5418633226
- Primary Specialty
-
Rural Health Clinic
261QR1300X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Rural Health Clinic
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.