Organization
NORTH BEND MEDICAL CENTER INC
Active
Other names
NBMC-LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A TERSIGNI MD (INTERIM CEO)
(541) 267-5151
Entity
Organization
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4501
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4501
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38DO627047
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133897
—
OR
01
—
1407812365
NBMC GROUP NPI NUMBER
OR
01
—
38DO627047
CLIA NUMBER
OR
05
—
500400245
—
OR
01
—
690001817
RR MED GROUP PTAN NUMBER
OR
01
—
R0000WBGKX
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
07/24/2006
Last updated
12/07/2023
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