Icco, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ICCO, LLC

Doing business as

BestMed

Practice address

1755 SW Baker St
McMinnville, OR 97128-9112

Phone

(974) 900-4522

Fax

(971) 900-4503

NPI assigned

Jul 7, 2021

Last updated

Jun 29, 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

Erica Hauser

Title

Cfo

Phone

(312) 590-5372

Specialties & licenses 1

Addresses

Other names 1

• BestMed Doing business as

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1982275285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4858",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 SW BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289112",
            "telephone_number": "974-900-4522",
            "fax_number": "971-900-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-590-5372"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BestMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Nathan Hurst
• Alan Wayne Hurty II, M.D.
• Frank E Huston
• Ashley Pagana Hyder, M.D.
• Todd Hyder, D.M.D
• Timothy Ide, LPC
• Eric Steven Imlah
• Sara Lynn Imlah, QHMA
• Ashley Ingalls
• Roseanna Marie Inkeles, NCMA

• Rural Health Clinic/Center in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.