Active NPI
Icco, LLC
Doing business as Eugene Urgent Care-Coburg
- Urgent Care Clinic/Center
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ICCO, LLC
- Doing business as
- Eugene Urgent Care-Coburg
- Practice address
- 1800 Coburg Rd
Eugene, OR 97401-4945 - Phone
- (541) 345-8760
- Fax
- (541) 345-8763
- NPI assigned
- Oct 7, 2009
- Last updated
- Jul 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander K Morley, M.D.
- Title
- Manager
- Phone
- (541) 636-3473
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | OR | Primary |
Addresses
Primary practice location
1800 Coburg Rd
Eugene, OR 97401-4945
Mailing address
PO Box 1377
1800 Coburg Road
Eugene, OR 97440-1377
Phone (541) 345-8760
Other names 1
- Eugene Urgent Care-Coburg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090218000510 | OR | Part B Supplier - Clinic/Group Practice | 1355406729 |
Receives reassigned benefits from 316 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bend, OR; Woodburn, OR; Veneta, OR; Springfield, OR; Salem, OR; Roseburg, OR; Redmond, OR; North Bend, OR… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Harrisburg Medical Clinic
- Primary Care Clinic/Center
- Harrisburg, OR
- NPI 1922458371
O20090218000510
-
dba Musculoskeletal Clinic
- Sports Medicine (Family Medicine) Physician
- Eugene, OR
- NPI 1437660768
O20090218000510
-
dba Veneta Medical Clinic
- Family Medicine Physician
- Veneta, OR
- NPI 1518990621
O20090218000510
-
dba Thurston Urgent Care
- Urgent Care Clinic/Center
- Springfield, OR
- NPI 1528356953
O20090218000510
-
dba Atlas Physical and Hand Therapy
- Physical Therapist
- Eugene, OR
- NPI 1528385754
O20090218000510
National Provider Directory
National Provider Directory- Tax ID family
- Icco LLC
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Eugene, OR
- NPI 1821549536
-
dba Pleasant Hill Medical Clinic
- Primary Care Clinic/Center
- Pleasant Hill, OR
- NPI 1922541184
-
dba Musculoskeletal Clinic
- Sports Medicine (Family Medicine) Physician
- Eugene, OR
- NPI 1437660768
Locations
2710 Willamette St
Eugene, OR 97405
Phone (541) 735-3161
Practitioners & affiliated clinicians
Practitioners 30
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.
-
- Emergency Medicine Physician
- Eugene, OR
- NPI 1477574267
-
- Nurse Practitioner
- Salem, OR
- NPI 1952079931
-
- Nurse Practitioner
- Oakridge, OR
- NPI 1376626655
-
- Family Nurse Practitioner
- Redmond, OR
- NPI 1336524941
-
- Medical Physician Assistant
- Maupin, OR
- NPI 1881677540
-
- Physician Assistant
- Eugene, OR
- NPI 1295138444
-
- Family Nurse Practitioner
- Klamath Falls, OR
- NPI 1336692813
-
- Family Medicine Physician
- Coos Bay, OR
- NPI 1275033540
-
- Nurse Practitioner
- Chiloquin, OR
- NPI 1275533945
-
- Physician Assistant
- La Pine, OR
- NPI 1275719650
-
- Family Medicine Physician
- Eugene, OR
- NPI 1386968303
-
- Family Nurse Practitioner
- Sandy, OR
- NPI 1497027569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311033600000",
"number": "1902131022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1377",
"address_2": "1800 COBURG ROAD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974401377",
"telephone_number": "541-345-8760",
"fax_number": "541-345-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014945",
"telephone_number": "541-345-8760",
"fax_number": "541-345-8763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-07",
"last_updated": "2011-07-19",
"status": "A",
"authorized_official_last_name": "MORLEY",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "541-636-3473",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eugene Urgent Care-Coburg",
"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 Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.