| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 03/16/2017 |
| Medicare PECOS PAC ID | 7618876723 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376696732 PECOS PAC ID: 3476455411 Enrollment ID: I20040121000959 |
| Provider Name | J Eric Brunswick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902864275 PECOS PAC ID: 9739088840 Enrollment ID: I20040608000223 |
| Provider Name | Maria D Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588717979 PECOS PAC ID: 9830165331 Enrollment ID: I20040907000681 |
| Provider Name | Megan C Schweizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477644052 PECOS PAC ID: 9830267376 Enrollment ID: I20081010000056 |
| Provider Name | Kathryn A Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053557413 PECOS PAC ID: 0547317943 Enrollment ID: I20090421000589 |
| Provider Name | Kamara M Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114159068 PECOS PAC ID: 7012063589 Enrollment ID: I20090924000459 |
| Provider Name | Jeffrey G Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477603454 PECOS PAC ID: 7012971070 Enrollment ID: I20100505000469 |
| Provider Name | Mona J Mcardle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972656395 PECOS PAC ID: 6709902737 Enrollment ID: I20100928000728 |
| Provider Name | Thomas C Koch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679521561 PECOS PAC ID: 8022072081 Enrollment ID: I20101008001015 |
| Provider Name | Keith B Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447257563 PECOS PAC ID: 1052507050 Enrollment ID: I20101201001078 |
| Provider Name | Kelly A Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245420074 PECOS PAC ID: 5799871968 Enrollment ID: I20131031001699 |
| Provider Name | Derek B Kordenbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245579408 PECOS PAC ID: 5092093245 Enrollment ID: I20161024001229 |
| Provider Name | Anika Farouq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992242911 PECOS PAC ID: 6800163262 Enrollment ID: I20170606002831 |
| Provider Name | Carol Jean Wilder |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801982749 PECOS PAC ID: 5294717310 Enrollment ID: I20171214000434 |
| Provider Name | Daniel M Coontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063901007 PECOS PAC ID: 1850647959 Enrollment ID: I20180703001197 |
| Provider Name | Dana A Teszler |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023593282 PECOS PAC ID: 3476899758 Enrollment ID: I20230118002313 |
| Provider Name | Erica Renee Lingafelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093419277 PECOS PAC ID: 7810352929 Enrollment ID: I20230425000902 |
Ups Medford (cdrc - Expansion) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 503-494-9000 | |
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 | |
Pmg Medford Physiatry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
Pmg South Heart Rhythm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504 Phone: 541-732-7850 Fax: 541-732-7851 | |
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 | |
La Clinica Acute Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 638 Market St, Medford, OR 97504 Phone: 541-494-3840 Fax: 541-494-1789 |