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Organization
TREASURE VALLEY MEDICAL GROUP
Active
Organization
TREASURE VALLEY MEDICAL GROUP
Active
Parent organization
HOLY ROSARY MEDICAL CENTER
Other names
Treasure Valley Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOLY ROSARY MEDICAL CENTER
Authorized official
HEATHER LYNN RIVERA (PRACTICE MANAGER)
(541) 881-7358
Entity
Organization
Contact information
Practice address
1050 SW 3RD AVE, SUITE 3200, ONTARIO, OR 97914-2193
(541) 881-7370
(541) 881-7379
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7370
(541) 881-7379
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134400
OMAP GROUP NUMBER
OR
01
—
DB4506
RAILROAD MEDICARE
OR
Enumeration date
10/26/2005
Last updated
12/21/2007
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