Organization Active NPI

Valley of Peace Natural Health Center, LLC

  • Acupuncturist
  • La Grande, OR
National Provider Identifier
1003276163
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01183 Issued in OR
Legal business name
VALLEY OF PEACE NATURAL HEALTH CENTER, LLC
Practice address
1617 4TH St
La Grande, OR 97850-2505
Phone
(541) 910-2046
Fax
(888) 264-5835
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer A Moore, L.ACNPI 1568635514
Title
Licensed Acupuncturist
Phone
(541) 910-2046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC01183 OR Primary

Addresses

Primary practice location

1617 4TH St
La Grande, OR 97850-2505

Mailing address

1610 Z Ave
PO Box 1164
La Grande, OR 97850-3745
Phone (541) 910-2046

Other identifiers 1

IdentifierTypeStateIssuer
500607159MedicaidOR

National Provider Directory

National Provider Directory

Locations

1617 4th St
La Grande, OR 97850
Phone (541) 786-3707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1003276163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 Z AVE",
            "address_2": "PO BOX 1164",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503745",
            "telephone_number": "541-910-2046",
            "fax_number": "888-264-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 4TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502505",
            "telephone_number": "541-910-2046",
            "fax_number": "888-264-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OF PEACE NATURAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "541-910-2046",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500607159",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.