Pleasant Hill Medical Clinic

LBN: Icco Llc
Pleasant Hill Medical Clinic is an health care organization with primary practice located at 35859 Hwy 58 , Pleasant Hill OR 97455. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Icco Llc can be contacted via phone (541) 988-7300, or through Anderson, Peggy J via phone (541) 228-3865.

Contact Information

Primary practice address
35859 Hwy 58 Pleasant Hill OR 97455
Phone: (541) 988-7300
Fax: (541) 988-7320
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Peggy J
Phone: (541) 228-3865

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1922541184
LBN Legal business name Icco Llc
DBA Doing business as Pleasant Hill Medical Clinic
Authorized official Anderson, Peggy J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2016
Last updated Nov 21st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922541184 NPPES
Oregon Other DP1360 RR MEDICARE PTAN

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