Provider Demographics
NPI:1295966083
Name:MEDICAL HOUSE CALLS BY DAN HUGHES-FNP LLC
Entity type:Organization
Organization Name:MEDICAL HOUSE CALLS BY DAN HUGHES-FNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-441-3095
Mailing Address - Street 1:106 NW F ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-2012
Mailing Address - Country:US
Mailing Address - Phone:541-441-3095
Mailing Address - Fax:541-476-8157
Practice Address - Street 1:1505 NW PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-1007
Practice Address - Country:US
Practice Address - Phone:541-441-3095
Practice Address - Fax:541-476-8157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR091006311363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORP40432Medicare UPIN