Provider Demographics
NPI:1932535390
Name:SUMMIT HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:SUMMIT HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DODIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-944-1247
Mailing Address - Street 1:2364 MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHILOMATH
Mailing Address - State:OR
Mailing Address - Zip Code:97370-9488
Mailing Address - Country:US
Mailing Address - Phone:541-488-2101
Mailing Address - Fax:541-488-5885
Practice Address - Street 1:2364 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:PHILOMATH
Practice Address - State:OR
Practice Address - Zip Code:97370-9488
Practice Address - Country:US
Practice Address - Phone:541-488-2101
Practice Address - Fax:541-488-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty