Valley Immediate Care, Llc | |
1600 Delta Waters Rd Ste. 107 Medford OR 97504-9114 | |
(541) 858-2515 | |
(541) 858-2514 |
Full Name | Valley Immediate Care, Llc |
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Speciality | Clinic/Center |
Location | 1600 Delta Waters Rd, Medford, Oregon |
Authorized Official Name and Position | Jeffrey G. Williams (MEMBER) |
Authorized Official Contact | 5418582515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Immediate Care, Llc 815 N Central Ave Suite C Medford OR 97501-5873 Ph: (541) 734-9030 | Valley Immediate Care, Llc 1600 Delta Waters Rd Ste. 107 Medford OR 97504-9114 Ph: (541) 858-2515 |
NPI Number | 1982709226 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 03/16/2017 |
Medicare PECOS PAC ID | 7618876723 |
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Medicare Enrollment ID | O20040107000951 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982709226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Thomas P Penner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376696732 PECOS PAC ID: 3476455411 Enrollment ID: I20040121000959 |
Provider Name | J Eric Brunswick |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902864275 PECOS PAC ID: 9739088840 Enrollment ID: I20040608000223 |
Provider Name | John B Reid |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689664385 PECOS PAC ID: 2264419340 Enrollment ID: I20040707000208 |
Provider Name | Maria D Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588717979 PECOS PAC ID: 9830165331 Enrollment ID: I20040907000681 |
Provider Name | Megan C Schweizer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477644052 PECOS PAC ID: 9830267376 Enrollment ID: I20081010000056 |
Provider Name | Kathryn A Warner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053557413 PECOS PAC ID: 0547317943 Enrollment ID: I20090421000589 |
Provider Name | Kamara M Dodd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114159068 PECOS PAC ID: 7012063589 Enrollment ID: I20090924000459 |
Provider Name | Jeffrey G Williams |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477603454 PECOS PAC ID: 7012971070 Enrollment ID: I20100505000469 |
Provider Name | Mona J Mcardle |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1972656395 PECOS PAC ID: 6709902737 Enrollment ID: I20100928000728 |
Provider Name | Thomas C Koch |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1679521561 PECOS PAC ID: 8022072081 Enrollment ID: I20101008001015 |
Provider Name | Keith B Williams |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447257563 PECOS PAC ID: 1052507050 Enrollment ID: I20101201001078 |
Provider Name | Kelly A Dale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245420074 PECOS PAC ID: 5799871968 Enrollment ID: I20131031001699 |
Provider Name | Daniel W Hagerty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588046064 PECOS PAC ID: 3173838133 Enrollment ID: I20150819009113 |
Provider Name | Derek B Kordenbrock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245579408 PECOS PAC ID: 5092093245 Enrollment ID: I20161024001229 |
Provider Name | Anika Farouq |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992242911 PECOS PAC ID: 6800163262 Enrollment ID: I20170606002831 |
Provider Name | Carol Jean Wilder |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1801982749 PECOS PAC ID: 5294717310 Enrollment ID: I20171214000434 |
Provider Name | Daniel M Coontz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063901007 PECOS PAC ID: 1850647959 Enrollment ID: I20180703001197 |
Provider Name | Dana A Teszler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124582820 PECOS PAC ID: 9537401443 Enrollment ID: I20190424003047 |
Provider Name | Kelsey D Fyfe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760090583 PECOS PAC ID: 8628497740 Enrollment ID: I20200923001000 |
Provider Name | Shannon M Teszler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306570452 PECOS PAC ID: 0749666444 Enrollment ID: I20221004001549 |
Provider Name | Sally Breen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023593282 PECOS PAC ID: 3476899758 Enrollment ID: I20230118002313 |
Provider Name | Erica Renee Lingafelter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093419277 PECOS PAC ID: 7810352929 Enrollment ID: I20230425000902 |
Provider Name | Robert Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578556155 PECOS PAC ID: 6204896012 Enrollment ID: I20240724003194 |
Provider Name | Linda Phegley-payne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942676416 PECOS PAC ID: 3375843436 Enrollment ID: I20240912000490 |
Provider Name | Jacob Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770355851 PECOS PAC ID: 3577914043 Enrollment ID: I20240913003124 |
Rogue Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Medford, OR 97504 Phone: 541-842-7705 Fax: 541-842-7640 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Juanipero Way, Medford, OR 97504 Phone: 541-858-8170 Fax: 541-858-8167 | |
Complete Integrative Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-773-5772 Fax: 541-773-1113 | |