Organization Active NPI

Healthy Connections Hood River LLC

  • Internal Medicine Physician
  • Hood River, OR
National Provider Identifier
1306303979
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTHY CONNECTIONS HOOD RIVER LLC
Practice address
33 Nichols Pkwy # 300
Hood River, OR 97031-3121
Phone
(541) 716-5786
Fax
(541) 716-4688
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Horacek, MD
Title
Provider/Owner
Phone
(541) 716-5786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

33 Nichols Pkwy # 300
Hood River, OR 97031-3121

Mailing address

33 Nichols Pkwy # 300
Hood River, OR 97031-3121
Phone (541) 716-5786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190412001567 OR Part B Supplier - Clinic/Group Practice 3375884794 Receives reassigned benefits from 2 practitioners
Practice locations: Hood River, OR

National Provider Directory

National Provider Directory

Locations

33 Nichols Pkwy
Ste 300
Hood River, OR 97031
Phone (541) 716-5786

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1306303979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NICHOLS PKWY # 300",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970313121",
            "telephone_number": "541-716-5786",
            "fax_number": "541-716-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NICHOLS PKWY # 300",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970313121",
            "telephone_number": "541-716-5786",
            "fax_number": "541-716-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CONNECTIONS HOOD RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "HORACEK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "541-716-5786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.