Organization · Type 2 NPI

Beacon Health Care Solutions Incorporated

Clinical Medical Laboratory · North Bend, OR

NPI number 1114682382 Active

Practice location

2790 Broadway Ave
North Bend, OR 97459-2216

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

4 other providers at this address

NPI record

NPI: 1114682382
Entity type: Organization (Type 2)
Issued: Nov 3, 2021
Last updated: Nov 3, 2021
Status: Active
Subpart: Yes of Beacon Health Care Solutions Incorporated

Other names

Broadway Pharmacy · doing business as

Authorized official

Andrew Thomas Hibbard, PharmD
President
(541) 449-9190

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About NPI 1114682382

Beacon Health Care Solutions Incorporated's National Provider Identifier is 1114682382, issued on Nov 3, 2021. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in North Bend, OR. The record was last updated on Nov 3, 2021.