ICCO, LLC


Address: 5781 Main St, Springfield, OR 97478-5426
Phone: 5416363473

ICCO, LLC (NPI# 1528356953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528356953
Entity Type Organization
Organization Name ICCO, LLC
Other Organization Name THURSTON URGENT CARE
Practice Address 5781 Main St
Springfield
OR 97478-5426
Mailing Address Po Box 1377
Eugene
OR 97440-1377
Practice Telephone 5416363473
Practice Fax Number 5413636348
Mailing Telephone 5412283660
Mailing Fax Number 5412283670
Enumeration Date 2011-07-19
Last Update Date 2019-07-16
Authorized Official Name DR. ALEXANDER KELLY MORLEY (MANAGER)
Authorized Official Telephone 5416540282
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
OR Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Thurston Urgent Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407004757 Icco, LLC Clinic/Center 4040 W 11th Ave, Eugene, OR 97402-5601 2008-08-28
1518990621 Icco, LLC Family Medicine 87983 Territorial Rd, Veneta, OR 97487 2006-07-09
1437660768 Icco, LLC Family Medicine 598 E 13th Ave, Eugene, OR 97401-4783 2017-10-13
1083159503 Icco, LLC Clinic/Center 25045 Dunham Avenue, Veneta, OR 97487 2016-12-20
1285176867 Icco, LLC Physical Therapist 1800 Coburg Rd, Eugene, OR 97401-4995 2016-11-14
1528385754 Icco, LLC Physical Therapist 1800 Coburg Rd, Eugene, OR 97401-4995 2010-04-28
1902131022 Icco, LLC Clinic/Center 1800 Coburg Rd, Eugene, OR 97401-4945 2009-10-07
1992861611 Icco, LLC Family Medicine 1800 Coburg Rd, Eugene, OR 97401-4995 2006-12-28

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names ICCO, LLC 91302 N Coburg Industrial Way, Coburg, OR 97408
Colorado Business Entities ICCO, LLC 91302 Coburg Industrial Way, Suite 122, Coburg, OR 97408

Office Location

Street Address 5781 MAIN ST
City SPRINGFIELD
State OR
Zip Code 97478-5426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225014533 Karen Poague Physical Therapist 5781 Main St, Springfield, OR 97478-5426 2005-12-19
1588042030 Miranda Barlow Nurse Practitioner 5781 Main St, Springfield, OR 97478-5426 2015-05-15
1104062371 Willamette Community Medical Group, LLC Non-Pharmacy Dispensing Site 5781 Main St, Springfield, OR 97478-5426 2008-12-18
1285819094 Willamette Community Medical Group Durable Medical Equipment & Medical Supplies 5781 Main St, Springfield, OR 97478-5426 2007-12-31
1306813795 Oregon Medical Group At Thurston Physical Therapy Physical Therapist 5781 Main St, Springfield, OR 97478-5426 2006-03-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588225155 Mckenzie Dental Center Dentist 110 S. 59th St, Springfield, OR 97478 2019-06-25
1831691310 Michael Ryan Odle Psychologist 36716 Oak Point Rd, Springfield, OR 97478 2018-03-01
1639612880 Icco LLC Clinic/Center 5781 Main Street, Springfield, OR 97478 2016-11-21
1639529258 Nate John Sutherland Behavioral Analyst 37770 Upper Creek Road, Springfield, OR 97478 2016-06-14
1457760134 Leah Rybolt Physical Therapist 145 South 52nd Place, Springfield, OR 97478 2014-08-07
1972918423 Loree Lynn Howard Case Manager/Care Coordinator 4145 Jasper Road, Springfield, OR 97478 2014-06-24
1245589753 Sarah M Boothe Doula 870 S 46th St, Springfield, OR 97478 2012-08-30
1902155401 Dani Maree Hill Pharmacist 5744 Main Street, Springfield, OR 97478 2012-08-30
1295005312 Express Services Unlimited, Inc. Non-emergency Medical Transport (VAN) 37506 Hills Creek Road, Springfield, OR 97478 2012-01-05
1255524468 Leeann D Fields Licensed Practical Nurse 3318 Lakeview Dr, Eugene, OR 97478 2007-08-21
Find all providers in zip 97478

Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245782952 Occupational Health Centers of Ohio, Pa, Co Clinic/Center 825 W Leffel Lane, Springfield, OH 45506 2016-10-28
1730507286 Main Line Urgent Care Medical Group PC Clinic/Center 103 Baltimore Pike Ste A, Springfield, PA 19064-3733 2014-04-02
1487099776 Northcrest Medical Center Clinic/Center 520 Northcrest Dr, Springfield, TN 37172-4066 2013-05-01
1063772002 Crossroads Urgent Care Pllc Clinic/Center 2662 Memorial Boulevard, Springfield, TN 37172-3925 2012-05-24
1972786119 American Current Care Pa Clinic/Center 1308 N. Glenstone Avenue, Springfield, MO 65802-2130 2007-12-11
1831156561 Mhswo Health Ventures, Inc. Clinic/Center 2200 N Limestone St, Suite 102, Springfield, OH 45503-2665 2006-04-27
1326019902 North Springfield Family Medical Walk In Clinics Inc Clinic/Center 2619 N Kansas Expy, Springfield, MO 65803-1114 2006-01-31
1013546985 G Street Integrated Health Clinic/Center 1435 G St, Springfield, OR 97477-4113 2020-04-03
1558927517 Lester E Cox Medical Centers Clinic/Center 1429 W Sunshine St, Springfield, MO 65807-2346 2019-05-15
1871094052 Mercy Southern Missouri Ambulatory Services LLC Clinic/Center 900 E Battlefield St Ste 124, Springfield, MO 65807-5208 2018-02-23
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 97478

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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