Active NPI
Advanced Care Life Centers
- Primary Care Clinic/Center
- Medford, OR
National Provider Identifier
1982432571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ADVANCED CARE LIFE CENTERS
- Practice address
- 1463 E McAndrews Rd # a
Medford, OR 97504-6107 - Phone
- (541) 262-2252
- Fax
- (541) 787-6382
- NPI assigned
- Jul 24, 2024
- 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
- Michelle Eileen Macgregor, RN
- Title
- Owner
- Phone
- (541) 707-2257
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1463 E McAndrews Rd # a
Medford, OR 97504-6107
Mailing address
1463 E McAndrews Rd # a
Medford, OR 97504-6107
Phone (541) 262-2252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1463 E McAndrews Rd
#A
Medford, OR 97504
Phone (541) 252-2262
1463 E McAndrews Rd
Ste A
Medford, OR 97504
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Medford, OR
- NPI 1023147451
-
- Nurse Practitioner
- Jacksonville, OR
- NPI 1407294853
-
- Primary Care Nurse Practitioner
- Grants Pass, OR
- NPI 1376999516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1982432571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1463 E MCANDREWS RD # A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046107",
"telephone_number": "541-262-2252",
"fax_number": "541-787-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1463 E MCANDREWS RD # A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046107",
"telephone_number": "541-262-2252",
"fax_number": "541-787-6382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE LIFE CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "MACGREGOR",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "EILEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-707-2257",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
- Cory Aden-Wansbury, M.D.
- Peter W Adesman, MD
- Barbara Patricia Adkins
- Advanced Care Health Systems, LLC
- Advanced Care Life Centers
- Advanced Care Life Services, LLC
- Advanced Health & Wellness
- Advanced Healthcare Concepts, Inc.
- Advanced Joint Replacement Center LLC (Advanced Orthopedics)
- Advanced Joint Replacement Center of Southern Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.