Organization
CENTENNIAL MEDICAL GROUP NORTH, LLC
Active
Parent organization
CENTENNIAL MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTENNIAL MEDICAL GROUP, INC.
Authorized official
RAHUL AGARWAL (PRESIDENT)
(541) 677-2494
Entity
Organization
Contact information
Practice address
2801 NW MERCY DR STE 340, ROSEBURG, OR 97471-2348
(541) 677-2494
(541) 677-2294
Mailing address
2801 NW MERCY DR STE 340, ROSEBURG, OR 97471-2348
(541) 677-2494
(541) 677-2294
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500630863
—
OR
Enumeration date
10/21/2010
Last updated
05/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us