Provider Demographics
NPI:1760861793
Name:OREGON MOBILE HEALTHCARE LLC
Entity Type:Organization
Organization Name:OREGON MOBILE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:541-887-0804
Mailing Address - Street 1:2261 S 6TH ST
Mailing Address - Street 2:STE 2
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-3484
Mailing Address - Country:US
Mailing Address - Phone:541-882-6984
Mailing Address - Fax:541-884-7585
Practice Address - Street 1:2261 S 6TH ST
Practice Address - Street 2:STE 2
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-3484
Practice Address - Country:US
Practice Address - Phone:541-882-6984
Practice Address - Fax:541-884-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500687979Medicaid