Eagle Cap Clinic Inc PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EAGLE CAP CLINIC INC PC

Practice address

3705 Midway Dr
Baker City, OR 97814

Phone

(541) 523-4497

Fax

(541) 523-5471

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randy A Alanko, MD

Title

Owner

Phone

(541) 523-4497

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1356424451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-523-4497",
            "fax_number": "541-523-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MIDWAY DR",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-523-4497",
            "fax_number": "541-523-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CAP CLINIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "ALANKO",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-523-4497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287777",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175828",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L Downing, LPTA
• Beverly Ann Dubosch, CADC II CGAC I
• Kenneth Curtis Dudley, PH.D.
• Sarah Anne Helen Dunkle
• Michael Roy Dunn
• Eagle Optical Inc
• Eastern Oregon Audiology Inc
• Eastern Oregon Medical Associates,LLC
• Eastern Oregon Recovery and Medical LLC
• Victoria R Edmundson, RPH

• General Practice Physician in Baker City, OR
• Providers in Baker City, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.