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APPLEGATE MEDICAL ASSOCIATES NPI 1417035031


NPI Information

NPI: 1417035031
Provider Name: APPLEGATE MEDICAL ASSOCIATES

Other Name: APPLEGATE MEDICAL ASSOCIATES - EAST

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 38D1050681

Address:
689 E 19TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 868-1876
Get Directions

APPLEGATE MEDICAL ASSOCIATES is a clinic center in Eugene, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). APPLEGATE MEDICAL ASSOCIATES NPI is 1417035031. The provider is registered as an organization entity type.
The provider Other Name Is Applegate Medical Associates - East.

The provider's business location address is:

689 E 19TH AVE
EUGENE, OR
ZIP 97401-304
Phone: (541) 868-1876
Fax: (541) 868-0932

The provider's authorized official is John V Allcott .
The authorized official title is Owner and has the following contact phone number (541) 868-1876.

The CLIA number assigned to this NPI record is 38D1050681 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterMD16571OREGONNo
2261Q00000XClinic/CenterMD08934OREGONNo
3261Q00000XClinic/CenterMD11435OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1071324MEDICAIDOREGON
2222810MEDICAIDOREGON
3230482MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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