Active NPI
Icco, LLC
- Urgent Care Clinic/Center
- Eugene, OR
National Provider Identifier
1407004757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ICCO, LLC
- Practice address
- 4040 W 11TH Ave
Eugene, OR 97402-5601 - Phone
- (541) 228-3865
- Fax
- (541) 654-4693
- NPI assigned
- Aug 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Hauser
- Title
- Cfo
- Phone
- (312) 590-5372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | OR | Primary |
Addresses
Primary practice location
4040 W 11TH Ave
Eugene, OR 97402-5601
Mailing address
PO Box 4858
Portland, OR 97208-4858
Phone (541) 228-3865
Other practice location 1
2710 Willamette St
Eugene, OR 97405-3238
Phone (541) 735-3161
Other practice location 2
5781 Main St
Springfield, OR 97478-5426
Phone (541) 654-0282
Other practice location 3
355 W 3rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750
Other practice location 4
35859 Highway 58
Pleasant Hill, OR 97455-9651
Phone (541) 988-7300
Other practice location 5
1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 942-7000
Other practice location 6
1740 NW Goetz St
Roseburg, OR 97471-1613
Phone (541) 672-4789
Other practice location 7
1800 Coburg Rd
Eugene, OR 97401-4995
Phone (541) 345-8760
Other practice location 8
87893 Territorial Rd
Veneta, OR 97487-9564
Phone (541) 935-2200
Other practice location 9
598 E 13th Ave
Eugene, OR 97401-4783
Phone (541) 636-3473
Other practice location 10
3818 SW 21st St Ste 100
Redmond, OR 97756-6802
Phone (541) 548-2899
Other practice location 11
1555 S Highway 97
Redmond, OR 97756-9652
Phone (541) 213-2133
Other practice location 12
780 NW Garden Valley Blvd Ste 310
Roseburg, OR 97471-2298
Phone (541) 672-4885
Other practice location 13
1226 Virginia Ave
North Bend, OR 97459-2716
Phone (541) 305-4224
Other practice location 14
1755 SW Baker St
McMinnville, OR 97128-9112
Phone (971) 900-4522
Other practice location 15
3400 Cooperative Way
Lebanon, OR 97355-4063
Phone (541) 666-3305
Other practice location 16
3737 Shasta Way Ste A
Klamath Falls, OR 97603-4982
Phone (541) 883-2337
Other practice location 17
1623 N 1st St
Hermiston, OR 97838-1106
Phone (458) 300-9014
Other practice location 18
1890 NW 6th St
Grants Pass, OR 97526-1038
Phone (541) 507-0684
Other practice location 19
3675 Pacific Ave Unit 101
Forest Grove, OR 97116-2132
Phone (971) 762-4611
Other practice location 20
2902 Tom Tennant Dr
Woodburn, OR 97071-2828
Phone (971) 345-4767
Other practice location 21
108 NW Sisemore St Ste 120
Bend, OR 97703-2869
Phone (541) 213-2133
Other practice location 22
186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (971) 900-4984
Other names 1
- BestMed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090218000510 | OR | Part B Supplier - Clinic/Group Practice | 1355406729 |
Receives reassigned benefits from 316 practitioners 12 other NPIs on this enrollment Practice locations: Bend, OR; Woodburn, OR; Veneta, OR; Springfield, OR; Salem, OR; Roseburg, OR; Redmond, OR; North Bend, OR… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
108 NW Sisemore St
Bend, OR 97703
Phone (541) 213-2133
186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984
4040 W 11th Ave
Eugene, OR 97402
Phone (541) 228-3865
3675 Pacific Ave
Forest Grove, OR 97116
1623 N 1st St
Hermiston, OR 97838
Phone (458) 300-9014
930 SW Abbey St
Ste F
Newport, OR 97365
Phone (541) 574-4860
1226 Virginia Ave
North Bend, OR 97459
Phone (541) 305-4224
1215 George Washington Way
Richland, WA 99352
Phone (509) 946-1004
Practitioners & affiliated clinicians
Practitioners 347
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": "1219881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1407004757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4858",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084858",
"telephone_number": "541-228-3865",
"fax_number": "541-654-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 W 11TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025601",
"telephone_number": "541-228-3865",
"fax_number": "541-654-4693"
}
],
"practiceLocations": [
{
"address_1": "2710 Willamette St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974053238",
"country_code": "US",
"telephone_number": "541-735-3161",
"fax_number": "541-654-0298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5781 Main St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974785426",
"country_code": "US",
"telephone_number": "541-654-0282",
"fax_number": "541-654-0819",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "355 W 3rd Ave",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "OR",
"postal_code": "974481313",
"country_code": "US",
"telephone_number": "541-998-6750",
"fax_number": "541-998-1247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35859 Highway 58",
"address_purpose": "LOCATION",
"city": "Pleasant Hill",
"state": "OR",
"postal_code": "974559651",
"country_code": "US",
"telephone_number": "541-988-7300",
"fax_number": "541-688-7320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1445 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974241224",
"country_code": "US",
"telephone_number": "541-942-7000",
"fax_number": "541-942-5550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1740 NW Goetz St",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974711613",
"country_code": "US",
"telephone_number": "541-672-4789",
"fax_number": "541-672-4782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Coburg Rd",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974014995",
"country_code": "US",
"telephone_number": "541-345-8760",
"fax_number": "541-345-8763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "87893 Territorial Rd",
"address_purpose": "LOCATION",
"city": "Veneta",
"state": "OR",
"postal_code": "974879564",
"country_code": "US",
"telephone_number": "541-935-2200",
"fax_number": "541-935-6241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "598 E 13th Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974014783",
"country_code": "US",
"telephone_number": "541-636-3473",
"fax_number": "541-636-3480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3818 SW 21st St Ste 100",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977566802",
"country_code": "US",
"telephone_number": "541-548-2899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1555 S Highway 97",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977569652",
"country_code": "US",
"telephone_number": "541-213-2133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 NW Garden Valley Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974712298",
"country_code": "US",
"telephone_number": "541-672-4885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1226 Virginia Ave",
"address_purpose": "LOCATION",
"city": "North Bend",
"state": "OR",
"postal_code": "974592716",
"country_code": "US",
"telephone_number": "541-305-4224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1755 SW Baker St",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "OR",
"postal_code": "971289112",
"country_code": "US",
"telephone_number": "971-900-4522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Cooperative Way",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OR",
"postal_code": "973554063",
"country_code": "US",
"telephone_number": "541-666-3305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3737 Shasta Way Ste A",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "976034982",
"country_code": "US",
"telephone_number": "541-883-2337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1623 N 1st St",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "978381106",
"country_code": "US",
"telephone_number": "458-300-9014",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1890 NW 6th St",
"address_purpose": "LOCATION",
"city": "Grants Pass",
"state": "OR",
"postal_code": "975261038",
"country_code": "US",
"telephone_number": "541-507-0684",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3675 Pacific Ave Unit 101",
"address_purpose": "LOCATION",
"city": "Forest Grove",
"state": "OR",
"postal_code": "971162132",
"country_code": "US",
"telephone_number": "971-762-4611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2902 Tom Tennant Dr",
"address_purpose": "LOCATION",
"city": "Woodburn",
"state": "OR",
"postal_code": "970712828",
"country_code": "US",
"telephone_number": "971-345-4767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 NW Sisemore St Ste 120",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977032869",
"country_code": "US",
"telephone_number": "541-213-2133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "186 W Ellendale Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "OR",
"postal_code": "973381408",
"country_code": "US",
"telephone_number": "971-900-4984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ICCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-28",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "HAUSER",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "312-590-5372"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BestMed",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.