Pacificsource Pace, Llc
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization • Springfield, OR
About Pacificsource Pace, Llc NPI 1104787704 Summary
Pacificsource Pace, Llc is a verified healthcare organization specializing in Program of All-Inclusive Care for the Elderly (PACE) Provider Organization operating in Springfield, OR. Located at 555 INTERNATIONAL WAY STE B104, this facility provides patient care and medical services under National Provider Identifier (NPI) 1104787704.
Administrative operations and authorized compliance are overseen by Kristin Kernutt (Chief Legal Counsel).
Facility Location & Contact Primary Location
555 International Way Ste B104
Springfield, OR 974776013
Authorized Official Information
Kristin Kernutt , JD
Chief Legal Counsel
5412251967
Facility Classifications & Specialties
NUCC Taxonomy Code: 251T00000X
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Facility & Registry History Timeline
Chronological log of verified NPI organization updates, branch relocations, and registry updates
NPI status registered as active in NPPES database
Registered at 555 INTERNATIONAL WAY STE B104, SPRINGFIELD, OR 974776013 (Tel: 4252142526)
Registered at 555 INTERNATIONAL WAY STE B104, SPRINGFIELD, OR 974776013 (Tel: 4252142526)
Operating as PACIFICSOURCE PACE, LLC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
First registered as active Healthcare Organization in NPPES Database.
Patient & Community Reviews
Verified patient ratings, healthcare experiences, and facility photos
NPI Organization Metadata
Mailing Address
555 International Way Ste B104
Springfield, OR 974776013
Phone: 4585440400
Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.