Transitional Life Care Clinic, Inc.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

TRANSITIONAL LIFE CARE CLINIC, INC.

Practice address

15604 SW Rock of Ages Rd
McMinnville, OR 97128-8531

Phone

(971) 261-6130

Fax

(971) 241-6146

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Delvin Zook, CEO

Title

Administrator

Phone

(503) 550-4750

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16945/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Mary S Schrock, RN

  • Community Health Registered Nurse
  • McMinnville, OR
  • NPI 1245821255
  NPD

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1053839217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 SW ROCK OF AGES RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288531",
            "telephone_number": "971-261-6130",
            "fax_number": "971-261-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 SW ROCK OF AGES RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288531",
            "telephone_number": "971-261-6130",
            "fax_number": "971-241-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIFE CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "ZOOK",
        "authorized_official_first_name": "DELVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-550-4750",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen Townsend, MD
• Lauren Jena Trachte, RN
• Angela Lynne Tramelli, DNP, FNP-BC
• Olivia Tramelli, DPT
• Jacob Trask
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• Larysa Tremaine, RN
• True Haven Home Care LLC
• Sarah Jane Trueax, LCSW

• Adult Medicine Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Adult Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.