CENTENNIAL MEDICAL GROUP EAST, LLC
NPI 1235688805
Clinic/Center - Rural Health in Roseburg, OR
NPI Status: Active since September 23, 2016
Contact Information
1937 W HARVARD AVE
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-7200
Fax: (541) 229-3309
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
About CENTENNIAL MEDICAL GROUP EAST, LLC
This page provides the complete NPI Profile along with additional information for Centennial Medical Group East, Llc, a primary care provider established in Roseburg, Oregon operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1235688805 assigned on September 2016. The practitioner's primary taxonomy code is 261QR1300X with license number 38-3896 (OR). The provider is registered as an organization and their NPI record was last updated 6 years ago. Centennial Medical Group East, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kim Tyree (Coo)
- NPI
- 1235688805
- Provider Name
- CENTENNIAL MEDICAL GROUP EAST, LLC
- Entity Type
- Organization
- Location Address
- 1937 W HARVARD AVE ROSEBURG, OR 97471
- Location Phone
- (541) 677-7200
- Location Fax
- (541) 229-3309
- Mailing Address
- 2570 NW EDENBOWER BLVD STE 100 ROSEBURG, OR 97471
- Mailing Phone
- (541) 677-7200
- Mailing Fax
- (541) 229-3309
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-23-2016
- Last Update Date
- 05-01-2020
- Code Navigator
A primary care provider (PCP) like Centennial Medical Group East, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 38-3896
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD12182 (OR) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HSA Qualified 7500 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235688805, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235688805, enumerated as an "organization" on September 23, 2016.
The provider is located at 1937 W HARVARD AVE ROSEBURG, OR 97471 and the phone number is (541) 677-7200.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
