Provider Demographics
NPI:1497821052
Name:ASANTE COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:ASANTE COMMUNITY SERVICES LLC
Other - Org Name:ASANTE INFUSION SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-789-5098
Mailing Address - Street 1:2900 E BARNETT RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8380
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2900 E BARNETT RD STE 1
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8380
Practice Address - Country:US
Practice Address - Phone:541-789-3023
Practice Address - Fax:541-789-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR269481Medicaid
OR4963900001Medicare ID - Type Unspecified