Provider Demographics
NPI:1366765927
Name:CASCADE HEALTHCARE COMMUNITY
Entity type:Organization
Organization Name:CASCADE HEALTHCARE COMMUNITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR VP FINANCE/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-706-7707
Mailing Address - Street 1:2600 NE NEFF RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-0700
Mailing Address - Country:US
Mailing Address - Phone:541-706-3700
Mailing Address - Fax:541-706-3707
Practice Address - Street 1:2600 NE NEFF RD
Practice Address - Street 2:SUITE 5
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6337
Practice Address - Country:US
Practice Address - Phone:541-706-3700
Practice Address - Fax:541-706-3707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies