Organization
DOMINICAN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DALLEY (CEO)
(541) 881-7020
Entity
Organization
Contact information
Practice address
1118 NW 16TH ST, FRUITLAND, ID 83619-2271
(208) 452-6851
(541) 881-7156
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7020
(541) 881-7186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00189759321500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134054
—
OR
05
—
8053332-00
—
ID
01
—
E8340
BCID GROUP
ID
01
—
X-009702000
BLUE CROSS OF OREGON
OR
Enumeration date
11/01/2005
Last updated
06/25/2008
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