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VALLEY IMMEDIATE CARE LLC NPI 1821504192


NPI Information

NPI: 1821504192
Provider Name: VALLEY IMMEDIATE CARE, LLC

Other Name: VALLEY IMMEDIATE CARE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 38D1072984

Address:
162 NE BEACON DR STE 103
GRANTS PASS, OR
ZIP 97526
Phone: (541) 734-9030
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VALLEY IMMEDIATE CARE, LLC is a non pharmacy dispensing site in Grants Pass, OR. The provider is 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.) VALLEY IMMEDIATE CARE, LLC NPI is 1821504192. The provider is registered as an organization entity type.
The provider Other Name Is Valley Immediate Care.

The provider's business location address is:

162 NE BEACON DR STE 103
GRANTS PASS, OR
ZIP 97526-260
Phone: (541) 734-9030
Fax: (541) 734-9885

The provider's authorized official is Diana K Doran .
The authorized official title is Cfo and has the following contact phone number (541) 734-9030.

The CLIA number assigned to this NPI record is 38D1072984 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/21/2017 and was last updated on 12/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteMD24585OREGONYes

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: 4/28/2024

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