NPIMap

Organization Active NPI

Omhc, LLC

  • Clinic/Center
  • Bend, OR
National Provider Identifier
1356848352
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OMHC, LLC
Practice address
595 SW Bluff Dr Ste a
Bend, OR 97702-1283
Phone
(541) 508-4858
NPI assigned
Apr 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Elsy Ceja Ruiz
Title
Office Manager
Phone
(541) 505-8773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

595 SW Bluff Dr Ste a
Bend, OR 97702-1283

Mailing address

PO Box 70673
Springfield, OR 97475-0133
Phone (541) 285-3108

Other practice location 1

315 Coburg Rd Ste C
Eugene, OR 97401-6114
Phone (541) 870-2027

Other names 1

  • Oregon Man Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

2910 Santiam Hwy SE
Ste 102
Albany, OR 97322

2910 Santiam Hwy SE
Albany, OR 97322
Phone (541) 219-3200

320 SW Century Dr
Ste 405357
Bend, OR 97702

2546 NE Conners Ave
Ste 210
Bend, OR 97701
Phone (541) 508-4858

780 NW Garden Valley Blvd
Ste 46B
Roseburg, OR 97471
Phone (541) 673-1599

780 NW Garden Valley Blvd
Ste 46
Roseburg, OR 97471

876 Beltline Rd
Springfield, OR 97477

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1356848352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70673",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750133",
            "telephone_number": "541-285-3108",
            "fax_number": "541-780-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SW BLUFF DR STE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021283",
            "telephone_number": "541-508-4858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Coburg Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016114",
            "country_code": "US",
            "telephone_number": "541-870-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-07",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "CEJA RUIZ",
        "authorized_official_first_name": "ELSY",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "541-505-8773"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Man Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.