Active NPI
Willamette Community Medical Group
- Durable Medical Equipment & Medical Supplies
- Springfield, OR
National Provider Identifier
1285819094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WILLAMETTE COMMUNITY MEDICAL GROUP
- Practice address
- 5781 Main St
Springfield, OR 97478-5426 - Phone
- (541) 284-1694
- Fax
- (541) 242-4760
- NPI assigned
- Dec 31, 2007
- Organization subpart
- Yes
- Parent organization
- WILLAMETTE COMMUNITY MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Brewer
- Title
- Director
- Phone
- (615) 465-7262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5781 Main St
Springfield, OR 97478-5426
Mailing address
4000 Meridian Blvd
Attn: Debbie Brewer
Franklin, TN 37067-6325
Phone (615) 465-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285819094 | Other | OR | NPI |
Other names 1
- Thurston Medical Clinic
National Provider Directory
National Provider Directory- Part of
- Willamette Comm Med GRP LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Eugene, OR
- NPI 1073607099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234828800000",
"number": "1285819094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MERIDIAN BLVD",
"address_2": "ATTN: DEBBIE BREWER",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676325",
"telephone_number": "615-465-7626",
"fax_number": "615-465-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5781 MAIN ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974785426",
"telephone_number": "541-284-1694",
"fax_number": "541-242-4760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLAMETTE COMMUNITY MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILLAMETTE COMMUNITY MEDICAL GROUP",
"enumeration_date": "2007-12-31",
"last_updated": "2009-02-17",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-465-7262"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1285819094",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thurston Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.