Organization Active NPI

MB Healthcare Associates Inc

  • Specialist
  • Medford, OR
National Provider Identifier
1568568707
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
79042695 Issued in OR
Legal business name
MB HEALTHCARE ASSOCIATES INC
Practice address
33 N Central Ave
Suite 425
Medford, OR 97501-5900
Phone
(541) 779-5877
Fax
(541) 664-3287
NPI assigned
Sep 15, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Marguerite Smith Jr., NP-CNPI 1417931395
Title
1/2 Owner
Phone
(541) 779-5877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 79042695 OR Primary

Addresses

Primary practice location

33 N Central Ave
Suite 425
Medford, OR 97501-5900

Mailing address

PO Box 965
Medford, OR 97501-0069
Phone (541) 779-5877

Other identifiers 1

IdentifierTypeStateIssuer
240508MedicaidOR

National Provider Directory

National Provider Directory

Locations

33 N Central Ave
Ste 425
Medford, OR 97501
Phone (541) 779-5877

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1568568707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010069",
            "telephone_number": "541-779-5877",
            "fax_number": "541-664-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N CENTRAL AVE",
            "address_2": "SUITE 425",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015900",
            "telephone_number": "541-779-5877",
            "fax_number": "541-664-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB HEALTHCARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_title_or_position": "1/2 OWNER",
        "authorized_official_telephone_number": "541-779-5877",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "79042695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240508",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.