Active NPI
Clear Choice Health Plans, Inc.
- Point of Service
- Bend, OR
National Provider Identifier
1093931925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- CLEAR CHOICE HEALTH PLANS, INC.
- Practice address
- 2650 NE Courtney Dr
Bend, OR 97701-7636 - Phone
- (541) 385-5315
- Fax
- (541) 385-3008
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer A Brady
- Title
- Compliance Officer
- Phone
- (541) 330-8115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
2650 NE Courtney Dr
Bend, OR 97701-7636
Mailing address
2650 NE Courtney Dr
Bend, OR 97701-7636
Phone (541) 385-5315
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093931925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017636",
"telephone_number": "541-385-5315",
"fax_number": "541-385-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017636",
"telephone_number": "541-385-5315",
"fax_number": "541-385-3008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR CHOICE HEALTH PLANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "541-330-8115",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.