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SUMMIT HEALTH
NPI 1699827477
Family Medicine in Bend, OR

Active since January 18, 2007CLIA Certified · 4 labs
1501 NE MEDICAL CENTER DR, BEND, OR 97701(541) 382-2811 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2023, May 25, 2021 (2 updates tracked since 2021).

About Summit Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT HEALTH (NPI 1699827477) is a healthcare organization registered as a family medicine in Bend, Oregon and active in the NPI registry since January 2007. The organization holds 4 active CLIA laboratory certificates and lists Jessie Dover, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1699827477
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEND MEMORIAL CLINIC PC
Location Address1501 NE MEDICAL CENTER DRBend, OR 97701-6051
Mailing Address1501 Ne Medical Center DrBend, OR 97701-6051 · (541) 382-2811
Phone(541) 382-2811
Organization SubpartNo
Authorized OfficialJessie DoverCredentialing Coordinator · (541) 706-2495
Enumeration DateJanuary 18, 2007
Last NPPES UpdateApril 21, 20232 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1699827477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1501 NE MEDICAL CENTER DR, Bend, OR 97701
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Other Names 1

Doing Business AsSummit Health

Other Identifiers 1

Medicaid213243OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2302327

Summit Health Redmond Specialty Clinic · Redmond, OR
Active · expires Apr 8, 2028
CLIA Number38D2302327
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorVictor A. Nwanguma
Laboratory Phone(541) 382-2811
Laboratory LocationSummit Health Redmond Specialty Clinic1001 NW Canal Blvd Suite A, Redmond, OR 97756
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0673693

Summit Health City MD + Bend Memorial Clinic Sisters · Sisters, OR
Active · expires Apr 3, 2028
CLIA Number38D0673693
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorVictor A. Nwanguma
Laboratory Phone(541) 382-2811
Laboratory LocationSummit Health City MD + Bend Memorial Clinic Sisters231 E Cascade Ave, Sisters, OR 97759
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0882153

Summit Health Urology Bend · Bend, OR
Active · expires Jul 20, 2028
CLIA Number38D0882153
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorMatt S. Ashley
Laboratory Phone(541) 382-6447
Laboratory LocationSummit Health Urology Bend2090 NE Wyatt Court Suite 101, Bend, OR 97701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 38D1050474

Summit Health City MD + Bend Memorial Clinic Omd · Bend, OR
Active · expires Feb 18, 2027
CLIA Number38D1050474
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorVictor A. Nwanguma
Laboratory Phone(541) 706-6575
Laboratory LocationSummit Health City MD + Bend Memorial Clinic Omd815 SW Bond St, Bend, OR 97702
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DARREL THOMAS COMBS MD
Internal Medicine (Cardiovascular Disease)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 382-2811
BEND MEMORIAL CLINIC LLP
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 382-2811
DR. JOHN TIMOTHY HANLON M.D.
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 382-2811
DR. MICHAEL R TRIPP M.D.
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 382-2811
DR. JAMES C RITZENTHALER M.D.
Specialist
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 382-2811
GEORGENE CHRISTINE SIEMSEN GNP
Nurse Practitioner (Gerontology)
1501 NE MEDICAL CENTER DR, RM 315
BEND, OR 97701
Deschutes County (541) 382-2811
DR. STUART G GARRETT M.D.
Family Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 382-2811
DR. RICHARD S KEBLER M.D.
Internal Medicine (Nephrology)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 382-2811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bend Memorial Clinic PC's NPI number?

The NPI number for Bend Memorial Clinic PC is 1699827477. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Summit Health.

Where is Bend Memorial Clinic PC located?

Bend Memorial Clinic PC is located at 1501 NE Medical Center Dr, Bend, OR 97701. The listed phone number is (541) 382-2811.

What is Bend Memorial Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bend Memorial Clinic PC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bend Memorial Clinic PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Bend Memorial Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bend Memorial Clinic PC was last updated on April 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.