ICCO LLC (NPI# 1235672478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235672478 |
| Entity Type | Organization |
| Organization Name | ICCO LLC |
| Other Organization Name | PLEASANT HILL MEDICAL CLINIC |
| Practice Address |
2710 Willamette Street Eugene OR 97405 |
| Mailing Address |
1292 High Street Suite 224 Eugene OR 97401 |
| Practice Telephone | 5415057317 |
| Practice Fax Number | 5415057486 |
| Mailing Telephone | 5412283865 |
| Mailing Fax Number | 5416544693 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. ALEXANDER K MORLEY (CHIEF OF STAFF) |
| Authorized Official Telephone | 5416363473 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RR MEDICARE PTAN | DP1360 | 01 |
| Other Name | Type Code |
|---|---|
| Pleasant Hill Medical Clinic | Doing Business As Name - Organization |
| Prime Care Partners Roseburg | Doing Business As Name - Organization |
| Prime Care Partners Thurston | Doing Business As Name - Organization |
| Prime Med Medical Clinic | Doing Business As Name - Organization |
| Veneta Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922541184 | Icco LLC | Clinic/Center | 35859 Hwy 58, Pleasant Hill, OR 97455 | 2016-11-21 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1922458371 | Icco LLC | Clinic/Center | 420 Smith St, Harrisburg, OR 97446 | 2016-06-16 |
| 1578928818 | Icco LLC | Clinic/Center | 1800 Coburg Road, Eugene, OR 97401 | 2015-12-30 |
| 1700251154 | Icco LLC | Physician Assistant | 1292 High Street, Suite 224, Eugene, OR 97401 | 2015-12-10 |
| 1740896547 | Icco LLC | Clinic/Center | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | 2020-09-17 |
| 1649886441 | Icco LLC | Clinic/Center | 355 W 3rd Ave, Junction City, OR 97448-1313 | 2020-09-17 |
| 1063806842 | Icco LLC | Clinic/Center | 35859 Highway 58, Pleasant Hill, OR 97455-9651 | 2015-03-19 |
| 1821413881 | Icco LLC | Clinic/Center | 2710 Willamette St, Eugene, OR 97405-3238 | 2014-02-27 |
| Street Address |
2710 WILLAMETTE STREET |
| City | EUGENE |
| State | OR |
| Zip Code | 97405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| 1841602380 | Jill Jones | Dental Hygienist | 2640 Willamette St, Eugene, OR 97405 | 2014-06-02 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1578928818 | Icco LLC | Clinic/Center | 1800 Coburg Road, Eugene, OR 97401 | 2015-12-30 |
| 1467926329 | Imhealth | Clinic/Center | 1029 River Rd, Eugene, OR 97404-3242 | 2019-01-14 |
| 1982070025 | Priya J Carden Md LLC | Clinic/Center | 1161 Lincoln St, Eugene, OR 97401-3417 | 2015-08-12 |
| 1619399235 | Essential Medical | Clinic/Center | 131 E 11th Ave, Eugene, OR 97401-3511 | 2014-01-16 |
| 1871930909 | Kernan Family Practice LLC | Clinic/Center | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 | 2013-05-30 |
| 1841539004 | Seven Springs Center for Health Inc | Clinic/Center | 1355 Oak St, Suite 100, Eugene, OR 97401-3566 | 2013-02-07 |
| 1255693313 | Gutierrez Holistic Family Medicine LLC | Clinic/Center | 3575 Donald St, Suite 110, Eugene, OR 97405-4753 | 2012-06-13 |
| 1649407362 | Leigh Saint-louis Md LLC | Clinic/Center | 492 E 13th Ave, Eugene, OR 97401-4268 | 2009-06-20 |
| 1033379847 | David A. Bove, Nd PC | Clinic/Center | 1161 Lincoln St, Eugene, OR 97401-3417 | 2008-06-16 |
| Find all providers in EUGENE | ||||
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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.