Umatilla Medical Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

UMATILLA MEDICAL CLINIC

Practice address

1890 E 7TH Street
Umatilla, OR 97882-0790

Phone

(541) 922-3104

Fax

(541) 922-2951

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leroy Irwin Meharry, MD

Title

Owner

Phone

(541) 922-3104

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093834004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "address_2": "1890 E 7TH STREET",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978820790",
            "telephone_number": "541-922-3104",
            "fax_number": "541-922-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 E 7TH STREET",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978820790",
            "telephone_number": "541-922-3104",
            "fax_number": "541-922-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMATILLA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHARRY",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-922-3104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058545",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Thurman
• Adrianna Sophia Torres Leal, QMHA-R
• Idalia Maria Trejo
• Gina Turner
• Umatilla County School District #6R
• Umatilla Rural Fire Protection
• Andrew Valdez
• Bianca Valencia-Dominguez
• Karrizima Elizabeth Vandecar
• Maria Walchli

• Health Service Clinic/Center in Umatilla, OR
• Providers in Umatilla, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.