NPIMap

Organization Active NPI

Healthy U Medical Clinic LLC

  • Primary Care Clinic/Center
  • Jacksonville, OR
National Provider Identifier
1366790404
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
201150045NP Issued in OR
Legal business name
HEALTHY U MEDICAL CLINIC LLC
Practice address
7208 Highway 238
Jacksonville, OR 97530-9131
Phone
(541) 414-3130
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mrs. Natalia Nazartchouk, NPNPI 1619966355
Title
Nurse Practitioner
Phone
(541) 414-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 201150045NP OR Primary

Addresses

Primary practice location

7208 Highway 238
Jacksonville, OR 97530-9131

Mailing address

6801 Old Stage Rd
Central Point, OR 97502-9796
Phone (541) 414-3130

National Provider Directory

National Provider Directory

Locations

7208 Highway 238
Jacksonville, OR 97530
Phone (541) 414-3130

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1366790404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 OLD STAGE RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029796",
            "telephone_number": "541-414-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 HIGHWAY 238",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309131",
            "telephone_number": "541-414-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY U MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "NAZARTCHOUK",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-414-3130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "201150045NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, OR

Sources for this page

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