NPIMap

Organization Active NPI

Valley Immediate Care, LLC

  • Non-Pharmacy Dispensing Site
  • Medford, OR
National Provider Identifier
1225544695
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD19109 Issued in OR
Legal business name
VALLEY IMMEDIATE CARE, LLC
Practice address
235 E Barnett Rd Ste 106
Medford, OR 97501-7903
Phone
(541) 734-9030
Fax
(541) 734-9885
NPI assigned
Dec 21, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY IMMEDIATE CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Diana K Doran
Title
Cfo
Phone
(541) 734-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD19109 OR Primary

Addresses

Primary practice location

235 E Barnett Rd Ste 106
Medford, OR 97501-7903

Mailing address

815 N Central Ave Ste C
Medford, OR 97501-5873
Phone (541) 734-9030

Other names 1

  • Valley Immediate Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Valley Immediate Care LLC4 organizations share this tax ID, including this one
Part of
Valley Immediate Care LLC

Other organizations with this tax ID 3

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

Locations

235 E Barnett Rd
Ste 106
Medford, OR 97501
Phone (541) 734-9030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1225544695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N CENTRAL AVE STE C",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015873",
            "telephone_number": "541-734-9030",
            "fax_number": "541-734-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BARNETT RD STE 106",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017903",
            "telephone_number": "541-734-9030",
            "fax_number": "541-734-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY IMMEDIATE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY IMMEDIATE CARE LLC",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-734-9030"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OR",
            "license": "MD19109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Immediate Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.