McMinnville Free Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MCMINNVILLE FREE CLINIC

Practice address

125 SE Cowls St
McMinnville, OR 97128-6005

Phone

(503) 560-8334

Fax

(866) 731-5146

NPI assigned

Jan 4, 2014

Last updated

Jan 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jacqui Terrill Cooke, FNP

Title

Board President

Phone

(503) 474-3600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1548681844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 NW 2ND ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289108",
            "fax_number": "866-731-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SE COWLS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286005",
            "telephone_number": "503-560-8334",
            "fax_number": "866-731-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "TERRILL COOKE",
        "authorized_official_first_name": "JACQUI",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "503-474-3600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; 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.