| Icco, Llc | |
|
1623 N 1st St Hermiston OR 97838-1106 | |
| (458) 300-9014 | |
| Not Available |
| Full Name | Icco, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1623 N 1st St, Hermiston, Oregon |
| Authorized Official Name and Position | Erica Hauser (CFO) |
| Authorized Official Contact | 3125905372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icco, Llc 1623 N 1st St Hermiston OR 97838-1106 Ph: (458) 300-9014 | Icco, Llc 1623 N 1st St Hermiston OR 97838-1106 Ph: (458) 300-9014 |
| NPI Number | 1801587076 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801587076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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