Provider Demographics
NPI:1700527421
Name:TRANSITION HEALTH LLC
Entity Type:Organization
Organization Name:TRANSITION HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KURZET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-357-7594
Mailing Address - Street 1:1623 OAK ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4022
Mailing Address - Country:US
Mailing Address - Phone:541-357-7594
Mailing Address - Fax:
Practice Address - Street 1:1623 OAK ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4022
Practice Address - Country:US
Practice Address - Phone:541-357-7594
Practice Address - Fax:503-343-6242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500772209Medicaid