Provider Demographics
NPI:1265973580
Name:PHYSICIAN ALLY BILLING AND HEALTHCARE ADMINISTRATION SERVICES, LLC
Entity type:Organization
Organization Name:PHYSICIAN ALLY BILLING AND HEALTHCARE ADMINISTRATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-206-7102
Mailing Address - Street 1:2080 MEDINA ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4917
Mailing Address - Country:US
Mailing Address - Phone:541-206-7102
Mailing Address - Fax:
Practice Address - Street 1:2080 MEDINA ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4917
Practice Address - Country:US
Practice Address - Phone:541-206-7102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty