NPIMap

Organization Active NPI

Monarch Medical Group LLC

  • Clinic/Center
  • Roseburg, OR
National Provider Identifier
1205166691
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MONARCH MEDICAL GROUP LLC
Practice address
780 NW Garden Valley Blvd Ste 310
Roseburg, OR 97471-2298
Phone
(541) 465-3966
Fax
(541) 465-3967
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Michael Chamberlin
Title
Finance Manager
Phone
(541) 465-3966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

780 NW Garden Valley Blvd Ste 310
Roseburg, OR 97471-2298

Mailing address

363 High St
Eugene, OR 97401
Phone (541) 465-3966

National Provider Directory

National Provider Directory
Tax ID family
Monarch Medical Group LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

780 NW Garden Valley Blvd
Ste 46B
Roseburg, OR 97471
Phone (541) 673-1599

780 NW Garden Valley Blvd
Ste 310
Roseburg, OR 97471
Phone (541) 465-3966

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1205166691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-465-3966",
            "fax_number": "541-465-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NW GARDEN VALLEY BLVD STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712298",
            "telephone_number": "541-465-3966",
            "fax_number": "541-465-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "541-465-3966"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.