Professional Health Care LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

PROFESSIONAL HEALTH CARE LLC

Doing business as

Get A Flu Shot.com

Practice address

2580 Kensington CT
West Linn, OR 97068

Phone

(503) 258-9800

Fax

(503) 258-8311

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Hassan Gholi

Title

General Manager

Phone

(503) 522-1860

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Get A Flu Shot.com Doing business as

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• David Hall, FNP

  • Family Nurse Practitioner
  • Corvallis, OR
  • NPI 1124161344
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1528244282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 KENSINGTON CT",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "97068",
            "telephone_number": "503-258-9800",
            "fax_number": "503-258-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 KENSINGTON CT",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "97068",
            "telephone_number": "503-258-9800",
            "fax_number": "503-258-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "GHOLI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "503-522-1860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "112014",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "AB26796",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213900",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "AB26795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Get A Flu Shot.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Posteuca
• Garry Cook Pow, D.C.
• Ronald Wayne Powell, D.O.
• Christine Barbara Prendergast
• Marcia Helene Prinz, LCSW
• Protalus USA LLC
• Psychological Services Center, P.C.
• Rachel Pulver, RN, FNP
• S. Raymond Rainka, DMD
• Rainrock Treatment Center, LLC

• Adult Health Nurse Practitioner in West Linn, OR
• Providers in West Linn, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.