NPIMap

Organization Active NPI

Valley Immediate Care, LLC

  • Non-Pharmacy Dispensing Site
  • Ashland, OR
National Provider Identifier
1275049546
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD16372
Legal business name
VALLEY IMMEDIATE CARE, LLC
Practice address
1401 Siskiyou Blvd Ste 1
Ashland, OR 97520-2304
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 MD16372 Primary

Addresses

Primary practice location

1401 Siskiyou Blvd Ste 1
Ashland, OR 97520-2304

Mailing address

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

Other names 1

  • Valley Immediate Care Other name

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
38D2062837Valley Immediate Care LLC Ashland1401 Siskiyou Blvd Ste 1, Ashland, OR 97520ComplianceDec 5, 2027

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

1401 Siskiyou Blvd
Ste 1
Ashland, OR 97520
Phone (541) 734-9030

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

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": "1275049546",
    "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": "1401 SISKIYOU BLVD STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202304",
            "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": null,
            "license": "MD16372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Immediate Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, 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.
  • 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.