SOUTH LANE MEDICAL GROUP
NPI 1669578035
Durable Medical Equipment & Medical Supplies in Cottage Grove, OR

NPI Status: Active since September 15, 2006

Contact Information

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424
Phone: (541) 942-0511

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About SOUTH LANE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for South Lane Medical Group, a provider established in Cottage Grove, Oregon operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1669578035 assigned on September 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as South Lane Medical Group. The authorized official of this NPI record is Wendy Nmi Apland (Cfo)

NPI
1669578035
Provider Legal Name
PEACEHEALTH
Other Organization Name
SOUTH LANE MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1515 VILLAGE DR COTTAGE GROVE, OR 97424
Location Phone
(541) 942-0511
Mailing Address
PO BOX 24410 EUGENE, OR 97402
Mailing Phone
(541) 349-7683
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2006
Last Update Date
07-12-2013
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WENDY NMI APLAND

Authorized Official Title
CFO
Authorized Official Phone
(541) 686-3968

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
102478MEDICARE PIN (08)OR 
1325410001MEDICARE NSC (07)OR 
130008MEDICAID (05)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669578035
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291071606
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 0 + 7 + 1 + 6 + 0 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1669578035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. GEORGENE MOLDOVAN MD

Emergency Medicine

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

DR. GERALD A BARKER M.D.

Family Medicine

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6614

DR. JAMES F HARRISON M.D.

Family Medicine

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6614

DANIEL KRANITZ DO

Emergency Medicine

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

JULIE E KIM MD

Emergency Medicine

(Emergency Medical Services)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

KIMBERLY CRONIN M.D.

Emergency Medicine

(Emergency Medical Services)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

JEAN LANGKOW ANP

Nurse Practitioner

(Adult Health)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6610

UN SOK SEO M.D. UN

Emergency Medicine

(Emergency Medical Services)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

PAUL NORRIS

Emergency Medicine

(Emergency Medical Services)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

DR. ZUZANNA M. WIECKOWSKA M.D.

Family Medicine

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6610

HEATHER MARIE WEIR RD, LD

Dietitian, Registered

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6610

SUZANNE M. SNELLEN GNP

Nurse Practitioner

(Adult Health)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6610

DR. ERIK POYOUROW MD

Emergency Medicine

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

DR. NAIMAN KHAN MD

Family Medicine

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

CATHERINE M THOMAS PNP

Nurse Practitioner

(Pediatrics)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6614

PEACEHEALTH

General Acute Care Hospital

(Critical Access)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 686-7191

PEACEHEALTH

Medicare Defined Swing Bed Unit

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 686-7034

LEANDRA GAMBEE GNP

Nurse Practitioner

(Gerontology)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-6610

PEACE HEALTH

Non-Pharmacy Dispensing Site

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(952) 653-2525

BRANDY BUMP ZERBY PA

Physician Assistant

(Medical)

1515 VILLAGE DR
COTTAGE GROVE, OR
ZIP 97424

(541) 942-0511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669578035, enumerated as an "organization" on September 15, 2006.

The provider is located at 1515 VILLAGE DR COTTAGE GROVE, OR 97424 and the phone number is (541) 942-0511.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.