Organization Active NPI

Eugene Urgent Care

  • Primary Care Clinic/Center
  • Eugene, OR
National Provider Identifier
1821549536
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CP001133 Issued in SD
Legal business name
EUGENE URGENT CARE
Practice address
1800 Coburg Rd.
Eugene, OR 97408
Phone
(541) 600-7018
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Lisa Carter
Title
Credentialing Specialist
Phone
(541) 600-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CP001133 SD Primary

Addresses

Primary practice location

1800 Coburg Rd.
Eugene, OR 97408

Mailing address

1292 High St. Suite 224
Eugene, OR 97401

National Provider Directory

National Provider Directory
Tax ID family
Icco LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1821549536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 HIGH ST. SUITE 224",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COBURG RD.",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-600-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "541-600-7018"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SD",
            "license": "CP001133",
            "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 Oct 18, 2016; 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.