NPIMap

Organization Active NPI

Emurgent Care LLC

  • Urgent Care Clinic/Center
  • Dallas, OR
National Provider Identifier
1790188043
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
201400303NP-PP Issued in OR
Legal business name
EMURGENT CARE LLC
Practice address
109B E Ellendale Ave
Dallas, OR 97338-1794
Phone
(503) 837-2704
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Dr. Hal A Mitchell, D.O.
Title
Medical Director
Phone
(503) 437-3594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 201400303NP-PP OR Primary

Addresses

Primary practice location

109B E Ellendale Ave
Dallas, OR 97338-1794

Mailing address

109B E Ellendale Ave
Dallas, OR 97338-1794
Phone (503) 837-2704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1790188043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109B E ELLENDALE AVE",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381794",
            "telephone_number": "503-837-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109B E ELLENDALE AVE",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381794",
            "telephone_number": "503-837-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMURGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-437-3594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": "201400303NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.