Active NPI
Praxis Health, PC
- Rural Health Clinic/Center
- Hermiston, OR
National Provider Identifier
1114261930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- PRAXIS HEALTH, PC
- Practice address
- 600 NW 11TH St Ste E15
Hermiston, OR 97838-8602 - Phone
- (541) 567-6434
- Fax
- (541) 429-6613
- NPI assigned
- Nov 16, 2012
- Last updated
- Aug 30, 2021
- 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
- Jessica M Reagan
- Title
- Revenue Cycle Director
- Phone
- (541) 966-6136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
600 NW 11TH St Ste E15
Hermiston, OR 97838-8602
Mailing address
PO Box 1517
Bend, OR 97709-1517
Phone (877) 708-1119
Other names 1
- Praxis Medical Group Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2025 | Change of Ownership | Family Health Associates |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Family Health Associates
- Rural Health Clinic/Center
- Hermiston, OR
- NPI 1255149175
Sold to, 2025-01-01
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Bend, OR
- NPI 1487624409
-
- Case Management Registered Nurse
- Bend, OR
- NPI 1013295690
-
- Family Nurse Practitioner
- Bend, OR
- NPI 1043294911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1114261930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1517",
"city": "BEND",
"state": "OR",
"postal_code": "977091517",
"telephone_number": "877-708-1119",
"fax_number": "541-278-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NW 11TH ST STE E15",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978388602",
"telephone_number": "541-567-6434",
"fax_number": "541-429-6613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAXIS HEALTH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-16",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "REAGAN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "541-966-6136"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Praxis Medical Group Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.