Organization Active NPI

Valley Med PC

Doing business as Valley Med @ the Ten

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1881810745
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
791258-87 Issued in OR
Legal business name
VALLEY MED PC
Doing business as
Valley Med @ the Ten
Practice address
10 Coburg Rd Ste 201
Eugene, OR 97401-7487
Phone
(541) 687-8581
Fax
(541) 343-1411
NPI assigned
Apr 18, 2007
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Nicole Winslow
Title
Manager
Phone
(541) 687-8581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Family Medicine Physician 207Q00000X 791258-87 OR Primary

Addresses

Primary practice location

10 Coburg Rd Ste 201
Eugene, OR 97401-7487

Mailing address

10 Coburg Rd Ste 201
Eugene, OR 97401-7487
Phone (541) 687-8581

Other identifiers 1

IdentifierTypeStateIssuer
022994MedicaidOR

Other names 1

  • Valley Med @ the Ten Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittany.alloway@VM.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001211 OR Part B Supplier - Clinic/Group Practice 4880670579 Receives reassigned benefits from 5 practitioners
Practice locations: Eugene, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0626944Valley Med at the Ten10 Coburg Rd, Suite 201, Eugene, OR 97401Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory

Locations

10 Coburg Rd
Ste 201
Eugene, OR 97401
Phone (541) 687-8581

Interoperability endpoints

  • Direct secure messaging: brittany.alloway@vm.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 5

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1881810745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017487",
            "telephone_number": "541-687-8581",
            "fax_number": "541-343-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017487",
            "telephone_number": "541-687-8581",
            "fax_number": "541-343-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-687-8581"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "791258-87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022994",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.alloway@VM.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Valley Med",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV or other",
            "address_1": "10 Coburg Rd Ste 201",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974017487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley Med @ the Ten",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.