Organization Active NPI

Newberg Urgent Care and Medical Center

  • General Practice Physician
  • Newberg, OR
National Provider Identifier
1275670614
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEWBERG URGENT CARE AND MEDICAL CENTER
Practice address
2880 Hayes St
Newberg, OR 97132-1310
Phone
(503) 537-9600
Fax
(503) 537-0105
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Augustine Gonzales
Title
Administrator Owner
Phone
(503) 537-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2880 Hayes St
Newberg, OR 97132-1310

Mailing address

2880 Hayes St
Newberg, OR 97132-1310
Phone (503) 537-9600

National Provider Directory

National Provider Directory
Tax ID family
Newberg Urgent Care and Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1275670614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 HAYES ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321310",
            "telephone_number": "503-537-9600",
            "fax_number": "503-537-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 HAYES ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321310",
            "telephone_number": "503-537-9600",
            "fax_number": "503-537-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERG URGENT CARE AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "503-537-9600"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.