ICCO LLC


Address: 420 Smith St, Harrisburg, OR 97446
Phone: 5419955266

ICCO LLC (NPI# 1922458371) 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) 1922458371
Entity Type Organization
Organization Name ICCO LLC
Other Organization Name HARRISBURG MEDICAL CLINIC
Practice Address 420 Smith St
Harrisburg
OR 97446
Mailing Address 1292 High St
Suite 224
Eugene
OR 97401-3238
Practice Telephone 5419955266
Practice Fax Number 5419955245
Mailing Telephone 5416416053
Mailing Fax Number 5414859987
Enumeration Date 2016-06-16
Last Update Date 2019-06-13
Authorized Official Name DR. DOUGLAS D BAILEY (MEDICAL DIRECTOR HARRISBURG CLINIC)
Authorized Official Telephone 5419986750
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QU0200X Clinic/Center
Specialization: Urgent Care
OR Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
OR Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Harrisburg Medical Clinic Doing Business As Name - Organization
Nova Health Harrisburg Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922541184 Icco LLC Clinic/Center 35859 Hwy 58, Pleasant Hill, OR 97455 2016-11-21
1639612880 Icco LLC Clinic/Center 5781 Main Street, Springfield, OR 97478 2016-11-21
1053854208 Icco LLC Clinic/Center 1740 Nw Goetz Street, Roseburg, OR 97471 2016-11-21
1235672478 Icco LLC Clinic/Center 2710 Willamette Street, Eugene, OR 97405 2016-11-21
1578928818 Icco LLC Clinic/Center 1800 Coburg Road, Eugene, OR 97401 2015-12-30
1700251154 Icco LLC Physician Assistant 1292 High Street, Suite 224, Eugene, OR 97401 2015-12-10
1740896547 Icco LLC Clinic/Center 4480 Highway 101 Ste G, Florence, OR 97439-8831 2020-09-17
1649886441 Icco LLC Clinic/Center 355 W 3rd Ave, Junction City, OR 97448-1313 2020-09-17
1063806842 Icco LLC Clinic/Center 35859 Highway 58, Pleasant Hill, OR 97455-9651 2015-03-19
1821413881 Icco LLC Clinic/Center 2710 Willamette St, Eugene, OR 97405-3238 2014-02-27

Office Location

Street Address 420 SMITH ST
City HARRISBURG
State OR
Zip Code 97446

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902073471 Curtis Pharmacy Inc. Pharmacy 230 N. 3rd St., Suite 106, Harrisburg, OR 97446 2008-05-13
1720178874 Linn Co School Dist Local Education Agency (LEA) 865 Lasalle St, Harrisburg, OR 97446 2006-10-12
1700146719 Aaron Clinton Oakes Counselor 450 N 6th St, Harrisburg, OR 97446-8620 2012-05-23
1659896421 Alex Mychal Ball Specialist/Technologist 1074 Applegate Pl, Harrisburg, OR 97446-8703 2017-08-13
1720365737 Clark Delaine Texley Jr. Pharmacist 605 N 8th St, Harrisburg, OR 97446-9552 2011-11-04
1639572217 Matthew Williams Licensed Practical Nurse 855 S 8th St, Harrisburg, OR 97446-9588 2014-09-26
1407121106 Sean's Place, Incorporated Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 930 Hammer St, Harrisburg, OR 97446-9590 2012-03-13
1669092201 Exodus Recovery Services LLC. Counselor 230 N 3rd St Ste 105, Harrisburg, OR 97446-9679 2020-04-23
1710210935 Robert William Curtis Pharmacist 230 N 3rd St Ste 106, Harrisburg, OR 97446-9679 2009-09-08
1598733230 Country Counseling Psychologist 230 N 3rd St, Suite 105, Harrisburg, OR 97446-9679 2006-03-09
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1487205167 Careatc Clinic/Center 6340 Flank Dr, Harrisburg, PA 17112-2764 2019-09-24
1528496973 Dr. Elizabeth Roserie D.c., P.C. Clinic/Center 5301 Jonestown Rd, Harrisburg, PA 17112-2967 2013-10-22
1780035410 Pinnacle Health System Clinic/Center 205 S Front St, Brady Building Gme Office Brady 9, Harrisburg, PA 17104-1619 2016-06-23
1538545181 Sister's Education, LLC Clinic/Center 209 N Illinois St, Harrisburg, AR 72432-1243 2015-08-05
1043527047 Jatto Internal Medicine and Wellness P.C. Clinic/Center 2205 Forest Hills Dr, Suite12, Harrisburg, PA 17112-1001 2010-09-12
1710213236 Cd East Family Health & Wellness Center LLC Clinic/Center 845 Sir Thomas Ct, Suite 5, Harrisburg, PA 17109-4840 2009-10-19
1225238298 Pinnacle Health Community Campus Clinic/Center 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2007-07-18
1457479164 Chambers Hill Family Medical Center, Inc. Clinic/Center 5400 Chambers Hill Rd, Harrisburg, PA 17111-2545 2007-03-27
1770514846 Stanley R. Goldman, M.d. and Associates Clinic/Center 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 2006-07-06

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NPI Name Taxonomy Address Enumeration
1376158774 G&h Healthcare Inc Clinic/Center 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 2020-09-11
1750906509 Alpha Care Family Medicine Clinic/Center 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 2020-06-08
1104447895 Beyond Health LLC Clinic/Center 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 2020-05-04
1851942536 Careatc Clinic/Center 1101 W Main St Ste 103, Medford, OR 97501-2966 2019-09-24
1871153585 Full Bloom Natural Medicine, LLC Clinic/Center 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 2019-06-14
1831757475 Structural Solutions Chiropractic Clinic/Center 121 Nw Everett St, Portland, OR 97209-4049 2019-05-29
1770147357 Uptown Providers PC Clinic/Center 397 Warner Milne Rd, Oregon City, OR 97045-4045 2019-04-29
1720549058 Barbara Gilbertson, Do, Inc. Clinic/Center 1803b Main St, Klamath Falls, OR 97601-2636 2019-03-28
1033674841 Jeremy Mikolai Nd Inc Clinic/Center 2540 Ne M L King Blvd, Portland, OR 97212-3732 2019-02-06
1326531666 Working Class Medicine LLC Clinic/Center 2133 N. Willis Blvd, Studio D, Portland, OR 97217 2018-06-12
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Competitor

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City HARRISBURG
Zip Code 97446

Improve Information

Please comment or provide details below to improve the information on ICCO LLC.

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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