Organization Active NPI

Allegiance Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Eugene, OR
National Provider Identifier
1639436447
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1457716-6 Issued in OR
Legal business name
ALLEGIANCE MEDICAL, LLC
Practice address
3035 Skyview LN
Eugene, OR 97405-6247
Phone
(541) 603-6205
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Kurtis M Doerr
Title
Owner
Phone
(541) 603-6205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1457716-6 OR Primary

Addresses

Primary practice location

3035 Skyview LN
Eugene, OR 97405-6247

Mailing address

268 Luzena Ave
Vacaville, CA 95688-4435
Phone (707) 330-6114

National Provider Directory

National Provider Directory
Tax ID family
Allegiance Medical Corp2 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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1639436447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 LUZENA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884435",
            "telephone_number": "707-330-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 SKYVIEW LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974056247",
            "telephone_number": "541-603-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "DOERR",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-603-6205"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "1457716-6",
            "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 Apr 18, 2012; 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.