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NPI Code Detail

MEDICARE: TONI FEIST MEDICAL SERVICES LLC

MEDICARE: TONI FEIST MEDICAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care FacilityOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11780660589OTHERORNPI

General Provider Information

NPI Number : 1063609949
Entity Type Code : Organization
Provider Name (Legal Business Name) : TONI FEIST MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : 229 N EGAN AVE
Second Line :
City : BURNS
State : OR
Zip : 97720-1741
Country : US
Telephone Number : 541-573-6126
Fax Number :
Provider Business Practice Location Address
First Line : 229 N EGAN AVE
Second Line :
City : BURNS
State : OR
Zip : 97720-1741
Country : US
Telephone Number : 541-573-6126
Fax Number :
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : RHONDA S PETTY
Credential :
Telephone Number : 541-573-6126
Provider Enumeration Date : 09/25/2007
Last Update Date : 09/25/2007

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Directions to “TONI FEIST MEDICAL SERVICES LLC ” Practice Location

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