BEND MEMORIAL CLINIC PC


Address: 1501 Ne Medical Center Dr, Bend, OR 97701-6051
Phone: 5413822811

BEND MEMORIAL CLINIC PC (NPI# 1972144913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972144913
Entity Type Organization
Organization Name BEND MEMORIAL CLINIC PC
Practice Address 1501 Ne Medical Center Dr
Bend
OR 97701-6051
Mailing Address 1501 Ne Medical Center Dr
Bend
OR 97701-6099
Practice Telephone 5413822811
Mailing Telephone 5413822811
Enumeration Date 2019-10-01
Last Update Date 2019-10-01
Authorized Official Name KAREN SUE BROWN (CREDENTIALING COORDINATOR)
Authorized Official Telephone 5417062452
Is Organization Subpart Y
Parent Organization Name BEND MEMORIAL CLINIC PC DBA SUMMIT MEDICAL GROUP OREGON

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
OR 213243 05

Other Provider/Organization Names

Other Name Type Code
Bend Memorial Clinic PC dba Summit Medical Group Oregon Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
815 Sw Bond St, Bend, OR 977023593 5413822811
865 Sw Veterans Way, Redmond, OR 977562583 5413822811

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447535075 Bend Memorial Clinic PC Emergency Medicine 13000 Sw Century Drive, Bend, OR 97702 2011-10-14
1912169699 Bend Memorial Clinic PC Specialist 1541 Nw Canal Blvd, Redmond, OR 97756-1341 2008-06-25
1851616692 Bend Memorial Clinic PC Family Medicine 231 E Cascade Ave, Sisters, OR 97759-1140 2010-04-05
1174847719 Bend Memorial Clinic PC Allergy & Immunology 865 Sw Veterans Way, Redmond, OR 97756-2563 2010-03-25
1689800773 Bend Memorial Clinic PC Ophthalmology 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2009-06-03
1780846501 Bend Memorial Clinic PC Dermatology 2600 Ne Neff Rd, Bend, OR 97701-6337 2008-07-02
1699827477 Bend Memorial Clinic PC Dermatology 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2007-01-18

Office Location

Street Address 1501 NE MEDICAL CENTER DR
City BEND
State OR
Zip Code 97701-6051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467455386 William Gert Schmidt Jr. Internal Medicine 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2005-05-24
1871194340 Jayna Rupley Physician Assistant 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2020-11-02
1649882671 David Gregory Downing Psychologist 1501 Ne Medical Center Dr, Bend, OR 97701-6099 2020-08-20
1720547060 Meredith Anne Helfrich Physician Assistant 1501 Ne Medical Center Dr, Bend, OR 97701-6099 2019-03-17
1659813392 Medford Radiological Group PC Radiology 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2016-11-11
1578921003 Elysia Churchman Physician Assistant 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2016-01-28
1457748196 Timothy M Preston Hospitalist 1501 Ne Medical Center Dr, Bend, OR 97701 2015-04-21
1285025478 Andrew O Jensen Dermatology 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2015-02-10
1518379080 Devon Hutton Family Medicine 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2014-06-02
1720416118 Molly Ann Johnson Physical Therapist 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2013-10-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
1013480714 Andrew Traut Specialist/Technologist Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 2019-01-04
1871063917 Calley Asbill, Nd LLC Chiropractor 2146 Ne 4th Street, Suite 160, Bend, OR 97701 2018-12-02
1902372212 Carisa S Battin Counselor 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 2018-10-15
1366921223 Hillside Eye Center LLC Ophthalmology 625 Nw Colorado Avenue, Bend, OR 97701 2018-08-11
1528545514 Kellie Michiko Kawasaki-jones Dentist 62968 Ob Riley Road, Suite 12, Bend, OR 97701 2018-07-23
1992255327 Shelby Chiropractic Chiropractor 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 2016-10-10
1144671520 Kevin Richard Pett Acupuncturist 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 2016-06-27
1912357500 Sheldon Shawn Doveri Driver 233 Nw Revere Ave, Bend, OR 97701 2016-06-15
1740647411 Anne Power Homeopath 2100 Ne Neff Rd Suite B, Bend, OR 97701 2016-01-26
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104217744 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 2090 Ne Wyatt Ct, Ste 201, Bend, OR 97701-7687 2015-02-17
1972909489 Central Oregon Mobile Phlebotomy Services, LLC Clinical Medical Laboratory 1420 Ne Mable Ct, Bend, OR 97701-3722 2014-11-11
1548412224 Bend Dermatology Clinic LLC Clinical Medical Laboratory 2705 Ne Conners Ave, Bend, OR 97701-6904 2008-10-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649881483 True Diagnostics Clinical Medical Laboratory 1122 Ne 122nd Ave Ste B-102, Portland, OR 97230-2081 2020-08-14
1497363543 Laboratory Corporation of America Clinical Medical Laboratory 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 2020-07-15
1245881721 Laboratory Corporation of America Clinical Medical Laboratory 3896 Beverly Ave Ne Bldg J Ste 40, Salem, OR 97305-1374 2019-09-25
1215594270 Emerald National Laboratory LLC Clinical Medical Laboratory 1710 Willow Creek Cir Ste 174, Eugene, OR 97402-9192 2019-05-24
1568927903 Alerra, LLC Clinical Medical Laboratory 618 Nw 12th Ave Apt 412, Portland, OR 97209-3031 2019-02-08
1831664515 A Worksafe Service, Inc. Clinical Medical Laboratory 1696 Capitol St Ne, Salem, OR 97301-7855 2018-10-09
1568980555 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 217 Division Ave Ste A, Eugene, OR 97404-5429 2017-08-30
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1255703245 Guidant Toxicology LLC Clinical Medical Laboratory 3329 Wintercreek Ct, Eugene, OR 97405-6238 2015-10-29
1275905473 Precision Laboratories LLC Clinical Medical Laboratory 1720 Willow Creek Cir, Suite 525 B, Eugene, OR 97402-9171 2015-10-27
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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