McMinnville Immediate Health Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MCMINNVILLE IMMEDIATE HEALTH CARE LLC

Practice address

207 NE 19TH St
McMinnville, OR 97128-9927

Phone

(503) 435-1077

Fax

(615) 844-9883

NPI assigned

Jul 10, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen L Page

Title

Vice President

Phone

(615) 844-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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.

• Michael K Rodgers, MD

  • Family Medicine Physician
  • McMinnville, OR
  • NPI 1730114075
  Medicare reassignment Care Compare group NPD
• Jaime Wasik, RN, MSN, FNP

  • Family Nurse Practitioner
  • Gresham, OR
  • NPI 1821516287
  Medicare reassignment Care Compare group NPD
• Yvette M Gaynor, NP

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1588721237
  Medicare reassignment NPD
• Elizabeth Colbert Moline, N.P.

  • Family Nurse Practitioner
  • McMinnville, OR
  • NPI 1639221609
  Medicare reassignment NPD
• Eric Deward Eddy, MD

  • Family Medicine Physician
  • Bristol, TN
  • NPI 1912468372

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932621141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NE 19TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289927",
            "telephone_number": "503-435-1077",
            "fax_number": "615-844-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 NE 19TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289927",
            "telephone_number": "503-435-1077",
            "fax_number": "615-844-9883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Continental Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370271042",
            "country_code": "US",
            "telephone_number": "615-844-9800",
            "fax_number": "615-844-9883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCMINNVILLE IMMEDIATE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9800"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McMinnville Foot & Ankle Associates LLC
• McMinnville Foot and Ankle Specialists, P.C. (Yamhill County Foot Health Center)
• McMinnville Free Clinic
• McMinnville Healing Massage
• McMinnville Imaging Associates LLP
• McMinnville Immediate Health Care LLC
• McMinnville Medical Investors, LLC (Life Care Center of McMinnville)
• McMinnville Obstetrics & Gynecology LLC (George T Barker)
• McMinnville Pediatric Dentistry LLC
• McMinnville Physical Therapy

• Urgent Care Clinic/Center in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Urgent Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.