Provider Demographics
NPI:1942295753
Name:SPECIAL PROCEDURES INC
Entity Type:Organization
Organization Name:SPECIAL PROCEDURES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-484-3937
Mailing Address - Street 1:1550 OAK ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7701
Mailing Address - Country:US
Mailing Address - Phone:541-484-4988
Mailing Address - Fax:541-434-0960
Practice Address - Street 1:1550 OAK ST
Practice Address - Street 2:SUITE #2
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7701
Practice Address - Country:US
Practice Address - Phone:541-484-4988
Practice Address - Fax:541-434-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CP7912OtherRAILROAD MEDICARE
OR101386Medicaid
OR101386Medicaid