Organization Active NPI

Monarch Medical Group LLC

  • Clinic/Center
  • Eugene, OR
National Provider Identifier
1386974772
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MONARCH MEDICAL GROUP LLC
Practice address
1777 Coburg Rd Ste 1
Eugene, OR 97401-5477
Phone
(541) 465-3966
Fax
(541) 465-3967
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Michael Chamberlin
Title
Finance Manager
Phone
(541) 465-3966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1777 Coburg Rd Ste 1
Eugene, OR 97401-5477

Mailing address

363 High St
Eugene, OR 97401-2309
Phone (541) 465-3966

National Provider Directory

National Provider Directory
Tax ID family
Monarch Medical Group LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1386974772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012309",
            "telephone_number": "541-465-3966",
            "fax_number": "541-465-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 COBURG RD STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015477",
            "telephone_number": "541-465-3966",
            "fax_number": "541-465-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "541-465-3966"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.