NPIMap

Organization Active NPI

Lincoln City Immediate Care

  • Urgent Care Clinic/Center
  • Lincoln City, OR
National Provider Identifier
1811925092
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LINCOLN CITY IMMEDIATE CARE
Practice address
1105 SE Jetty Ave
Suite C
Lincoln City, OR 97367-2632
Phone
(541) 994-1727
Fax
(541) 996-5181
NPI assigned
Jun 28, 2006
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Sherrel A Stephens
Title
Chief Operating Officer
Phone
(540) 504-6315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OR Primary

Addresses

Primary practice location

1105 SE Jetty Ave
Suite C
Lincoln City, OR 97367-2632

Mailing address

PO Box 177
McMinnville, OR 97128-0177
Phone (541) 504-6315

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1811925092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971280177",
            "telephone_number": "541-504-6315",
            "fax_number": "541-923-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SE JETTY AVE",
            "address_2": "SUITE C",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672632",
            "telephone_number": "541-994-1727",
            "fax_number": "541-996-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CITY IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SHERREL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "540-504-6315"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.