ICCO LLC NPI 1528356953

NPI Information

NPI: 1528356953
Provider Name: ICCO, LLC

Doing Business As: THURSTON URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
5781 MAIN ST
SPRINGFIELD, OR
ZIP 97478
Phone: (541) 636-3473
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ICCO, LLC is an urgent care clinic center in Springfield, OR. ICCO, LLC NPI is 1528356953. The provider is registered as an organization entity type.
The provider Is Doing Business As Thurston Urgent Care.

The provider's business location address is:

5781 MAIN ST
SPRINGFIELD, OR
ZIP 97478-426
Phone: (541) 636-3473
Fax: (541) 363-6348

The provider's authorized official is Alexander Kelly Morley .
The authorized official title is Manager and has the following contact phone number (541) 654-0282.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 7/16/2019.

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
1	261QU0200X	Clinic/Center	Urgent Care		OREGON	Yes

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

NPI Synchronization or Removal

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