Organization Active NPI

North Gilliam County Health District

Doing business as Arlington Medical Center

  • Family Nurse Practitioner
  • Arlington, OR
National Provider Identifier
1396853503
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORTH GILLIAM COUNTY HEALTH DISTRICT
Doing business as
Arlington Medical Center
Arlington Family Healthcare
Practice address
110 On the Mall
Arlington, OR 97812-0314
Phone
(541) 705-2601
Fax
(541) 705-2610
NPI assigned
Aug 28, 2006
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Michele N Guilliam
Title
Clinic Coordinator
Phone
(541) 705-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

110 On the Mall
Arlington, OR 97812-0314

Mailing address

PO Box 314
Arlington, OR 97812-0314
Phone (541) 705-2601

Other names 2

  • ARLINGTON MEDICAL CENTER Doing business as
  • Arlington Family Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061102000609 OR Part B Supplier - Clinic/Group Practice 7517964620 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0951695Arlington Family Healthcare110 On the Mall, Arlington, OR 97812Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
North Gilliam County Health District2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1396853503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "ARLINGTON",
            "state": "OR",
            "postal_code": "978120314",
            "telephone_number": "541-705-2601",
            "fax_number": "541-705-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ON THE MALL",
            "city": "ARLINGTON",
            "state": "OR",
            "postal_code": "978120314",
            "telephone_number": "541-705-2601",
            "fax_number": "541-705-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GILLIAM COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "GUILLIAM",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "541-705-2601"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARLINGTON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARLINGTON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arlington Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.