Provider Demographics
NPI:1497824684
Name:CENTRAL OREGON HOSPICE
Entity Type:Organization
Organization Name:CENTRAL OREGON HOSPICE
Other - Org Name:CENTRAL OREGON HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WESTBERG
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:541-382-5882
Mailing Address - Street 1:2698 NE COURTNEY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7637
Mailing Address - Country:US
Mailing Address - Phone:541-382-5882
Mailing Address - Fax:541-382-2960
Practice Address - Street 1:2698 NE COURTNEY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7637
Practice Address - Country:US
Practice Address - Phone:541-382-5882
Practice Address - Fax:541-382-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR381542Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER