VALLEY IMMEDIATE CARE, LLC (NPI# 1225544695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225544695 |
Entity Type | Organization |
Organization Name | VALLEY IMMEDIATE CARE, LLC |
Other Organization Name | VALLEY IMMEDIATE CARE |
Practice Address |
235 E Barnett Rd Ste 106 Medford OR 97501-7903 |
Mailing Address |
815 N Central Ave Ste C Medford OR 97501-5873 |
Practice Telephone | 5417349030 |
Practice Fax Number | 5417349885 |
Mailing Telephone | 5417349030 |
Mailing Fax Number | 5417349885 |
Enumeration Date | 2017-12-21 |
Last Update Date | 2017-12-21 |
Authorized Official Name | DIANA K DORAN (CFO) |
Authorized Official Telephone | 5417349030 |
Is Organization Subpart | Y |
Parent Organization Name | VALLEY IMMEDIATE CARE LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | MD19109 | OR | Suppliers |
Other Name | Type Code |
---|---|
Valley Immediate Care | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275049546 | Valley Immediate Care, LLC | Non-Pharmacy Dispensing Site | 1401 Siskiyou Blvd Ste 1, Ashland, OR 97520-2304 | 2017-12-21 |
1821504192 | Valley Immediate Care, LLC | Non-Pharmacy Dispensing Site | 162 Ne Beacon Dr Ste 103, Grants Pass, OR 97526-4260 | 2017-12-21 |
1982709226 | Valley Immediate Care, LLC | Family Medicine | 1600 Delta Waters Rd, Ste. 107, Medford, OR 97504-9114 | 2006-09-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | VALLEY IMMEDIATE CARE, LLC | 1600 Delta Water Rd Ste 107, Medford, OR 97504 |
Street Address |
235 E BARNETT RD STE 106 |
City | MEDFORD |
State | OR |
Zip Code | 97501-7903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
Find all providers in zip 97501 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922413749 | Microbiome Health Research Institute | Non-Pharmacy Dispensing Site | 196 Boston Ave, Suite 1000, Medford, MA 02155-4236 | 2014-07-01 |
1578906343 | Thomas Marzili Md LLC | Non-Pharmacy Dispensing Site | 128 Route 70, Suite 13, Medford, NJ 08055-2371 | 2013-04-11 |
1316170277 | Memorial Health Center | Non-Pharmacy Dispensing Site | 135 S Gibson St, Medford, WI 54451-1622 | 2009-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931814 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 6910 Se Milwaukie Ave, Portland, OR 97202-5717 | 2020-08-06 |
1962012955 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 111 A Ave, Lake Oswego, OR 97034-3116 | 2020-08-04 |
1366052367 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 25600 Sw Argyle Ave Ste B, Wilsonville, OR 97070-4701 | 2020-08-04 |
1659981652 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2711 Ne Town Center Dr Ste 2, Hillsboro, OR 97006-8951 | 2020-08-04 |
1902416175 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 8179 N Lombard St, Portland, OR 97203-3130 | 2020-08-03 |
1144830365 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 945 Nw Lovejoy St, Portland, OR 97209-3475 | 2020-08-03 |
1174133300 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 7855 Sw Capitol Hwy, Portland, OR 97219-2465 | 2020-08-03 |
1386254514 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 3872 N Mississippi Ave, Portland, OR 97227-1161 | 2020-08-03 |
1194335364 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2490 Willamette St Ste 4, Eugene, OR 97405-7211 | 2020-08-03 |
1265042436 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 11355 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2020-08-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.