# NORTHWEST MEDICAL HOMES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST MEDICAL HOMES, LLC
- **Other names:** Springfield Family Physicians, LLP, Centennial SFP, Centennial Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114396199
- **Legal business name:** NORTHWEST MEDICAL HOMES, LLC
- **Authorized official:** DR. MARK STANLEY MEYERS M.D. (PARTNER/ OFFICER)
- **Authorized official phone:** (541) 747-4300

## Contact information

- **Practice address:** 1800 CENTENNIAL BLVD, SPRINGFIELD, OR 97477-4385
- **Practice address phone:** (541) 747-4300
- **Practice address fax:** (541) 284-5534
- **Mailing address:** 2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
- **Mailing address phone:** (541) 747-4300
- **Mailing address fax:** (541) 284-5534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2015
- **Last updated:** 03/31/2021