Willamette Community Medical Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILLAMETTE COMMUNITY MEDICAL GROUP LLC

Practice address

1007 Harlow Rd
Springfield, OR 97477-7124

Phone

(541) 284-1600

Fax

(541) 242-4634

NPI assigned

Jan 9, 2008

Organization subpart

Yes

Parent organization

WILLAMETTE COMMUNITY MEDICAL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Debbie Brewer

Title

Director

Phone

(615) 465-7626

Specialties & licenses 1

Addresses

Other names 1

• Gateway Medical Center Doing business as

Part of

Willamette Comm Med GRP LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Willamette Community Medical Group LLC

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1073607099
  NPPES parent name

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1407031362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "address_2": "ATTN: DEBBIE BREWER",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7626",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARLOW RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777124",
            "telephone_number": "541-284-1600",
            "fax_number": "541-242-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE COMMUNITY MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLAMETTE COMMUNITY MEDICAL GROUP, LLC",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wildflower Integrative Medicine
• Steven L Wilhite, M..D.
• Kathleen E Wilken, M.D.
• Nadine Wilkes, RN
• Willamette Community Medical Group
• Willamette Community Medical Group LLC
• Willamette Community Medical Group LLC
• Willamette Community Medical Group, LLC
• Maya Jun Williams-Young
• Crystal Williams, RDN, LD

• Durable Medical Equipment & Medical Supplies in Springfield, OR
• Providers in Springfield, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.