Provider Demographics
NPI:1326432972
Name:SIMPLY HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SIMPLY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:970-389-5570
Mailing Address - Street 1:416 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-1332
Mailing Address - Country:US
Mailing Address - Phone:970-389-5570
Mailing Address - Fax:
Practice Address - Street 1:416 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-1332
Practice Address - Country:US
Practice Address - Phone:970-389-5570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-21
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201060057NP261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center