Organization Active NPI

West Linn Primary Care, P.C

  • Clinic/Center
  • West Linn, OR
National Provider Identifier
1124396429
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WEST LINN PRIMARY CARE, P.C
Practice address
18670 Willamette Dr
Suite 101
West Linn, OR 97068-1796
Phone
(503) 636-1133
Fax
(503) 636-1331
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Huey J Meeker, MDNPI 1437242997
Title
President
Phone
(503) 636-1133

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

18670 Willamette Dr
Suite 101
West Linn, OR 97068-1796

Mailing address

18670 Willamette Dr
Suite 101
West Linn, OR 97068-1796
Phone (503) 636-1133

Other identifiers 1

IdentifierTypeStateIssuer
063016MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000390 OR Part B Supplier - Clinic/Group Practice 6002081304 Receives reassigned benefits from 1 practitioner
Practice locations: West Linn, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2033609West Linn Primary Care18670 Willamette Drive Suite 101, West Linn, OR 97068Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

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": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1124396429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18670 WILLAMETTE DR",
            "address_2": "SUITE 101",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681796",
            "telephone_number": "503-636-1133",
            "fax_number": "503-636-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18670 WILLAMETTE DR",
            "address_2": "SUITE 101",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681796",
            "telephone_number": "503-636-1133",
            "fax_number": "503-636-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LINN PRIMARY CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "MEEKER",
        "authorized_official_first_name": "HUEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-636-1133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063016",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.