Physician Compare National (NPI:1801823174)

HEALTHCARE PROVIDER: DANIEL C HAMBLETON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801823174
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507928116
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140129001070
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAMBLETON
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	110 N COURT ST
	Group Practice or individual's line 1 address
City	HEPPNER
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	978367328
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	381310
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIONEER MEMORIAL HOSPITAL (HEPPNER)
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	381325
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GOOD SHEPHERD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	381319
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST ANTHONY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y