NPIMap

Organization Active NPI

Merrill Clinic

  • Primary Care Clinic/Center
  • Merrill, OR
National Provider Identifier
1982606158
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
93006519 Issued in OR
Legal business name
MERRILL CLINIC
Practice address
125 N Lincoln St
Merrill, OR 97633-1030
Phone
(541) 798-5074
Fax
(541) 798-5076
NPI assigned
Jun 1, 2005
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. Michael Aaron Sheets, FNPNPI 1548262876
Title
Owner Operator
Phone
(541) 798-5074

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 93006519 OR Primary

Addresses

Primary practice location

125 N Lincoln St
Merrill, OR 97633-1030

Mailing address

125 N Lincoln St
Merrill, OR 97633
Phone (541) 798-5074

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1982606158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N LINCOLN ST",
            "city": "MERRILL",
            "state": "OR",
            "postal_code": "97633",
            "telephone_number": "541-798-5074",
            "fax_number": "541-798-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N LINCOLN ST",
            "city": "MERRILL",
            "state": "OR",
            "postal_code": "976331030",
            "telephone_number": "541-798-5074",
            "fax_number": "541-798-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "541-798-5074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "93006519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrill, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.