MERRILL CLINIC NPI 1982606158

NPI Information

  • NPI: 1982606158
  • Provider Name: MERRILL CLINIC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 38D0920484
  • Address: 125 N LINCOLN ST
    MERRILL, OR
    ZIP 97633
  • Phone: (541) 798-5074

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NPI Details

MERRILL CLINIC is a primary care clinic center in Merrill, OR. MERRILL CLINIC NPI is 1982606158. The provider is registered as an organization entity type.

The provider's business location address is:

125 N LINCOLN ST
MERRILL, OR
ZIP 97633-030
Phone: (541) 798-5074
Fax: (541) 798-5076

The provider's authorized official is Michael Aaron Sheets .
The authorized official title is Owner Operator and has the following contact phone number (541) 798-5074.

The CLIA number assigned to this NPI record is 38D0920484 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/1/2005 and was last updated on 12/22/2011.

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
1261QP2300XClinic/CenterPrimary Care93006519OREGONYes

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
15164840001MEDICARE NSC
20000XCDBQMEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE NUMBER

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: 11/21/2025

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