Provider Demographics
NPI:1831210871
Name:VOLUNTEERS IN MEDICINE CLINIC OF THE CASCADES
Entity type:Organization
Organization Name:VOLUNTEERS IN MEDICINE CLINIC OF THE CASCADES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VIM MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIM H.
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIRD (VOL IN MED)
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-244-1310
Mailing Address - Street 1:2300 NE NEFF RD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6577
Mailing Address - Country:US
Mailing Address - Phone:541-330-9001
Mailing Address - Fax:541-585-9002
Practice Address - Street 1:2300 NE NEFF RD
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6577
Practice Address - Country:US
Practice Address - Phone:541-330-9001
Practice Address - Fax:541-585-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable