NPIMap

Organization Active NPI

Valley Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Medford, OR
National Provider Identifier
1982709226
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VALLEY IMMEDIATE CARE, LLC
Practice address
1600 Delta Waters Rd
Ste. 107
Medford, OR 97504-9114
Phone
(541) 858-2515
Fax
(541) 858-2514
NPI assigned
Sep 13, 2006
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Dr. Jeffrey G. Williams, M.D.NPI 1477603454
Title
Member
Phone
(541) 858-2515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1600 Delta Waters Rd
Ste. 107
Medford, OR 97504-9114

Mailing address

815 N Central Ave
Suite C
Medford, OR 97501-5873
Phone (541) 734-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000951 OR Part B Supplier - Clinic/Group Practice 7618876723 Receives reassigned benefits from 44 practitioners
Practice locations: Ashland, OR; Central Point, OR; Eagle Point, OR; Grants Pass, OR; Medford, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0970508Valley Immediate Care1600 Delta Waters Rd Suite 107, Medford, OR 97504ComplianceJun 26, 2028

National Provider Directory

National Provider Directory

Locations

1401 Siskiyou Blvd
Ste 1
Ashland, OR 97520
Phone (541) 734-9030

10586 Highway 62
Ste A
Eagle Point, OR 97524
Phone (541) 613-2733

162 NE Beacon Dr
Ste 103
Grants Pass, OR 97526
Phone (541) 734-9030

1600 Delta Waters Rd
Ste 107
Medford, OR 97504
Phone (541) 858-2515

2900 Doctors Park Dr
Ste 100
Medford, OR 97504
Phone (541) 772-6600

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1982709226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N CENTRAL AVE",
            "address_2": "SUITE C",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015873",
            "telephone_number": "541-734-9030",
            "fax_number": "541-734-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DELTA WATERS RD",
            "address_2": "STE. 107",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049114",
            "telephone_number": "541-858-2515",
            "fax_number": "541-858-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY IMMEDIATE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-858-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.