| Icco, Llc | |
|
3400 Cooperative Way Lebanon OR 97355-4063 | |
| (541) 666-3305 | |
| (541) 666-3306 |
| Full Name | Icco, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3400 Cooperative Way, Lebanon, 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 Po Box 4858 Portland OR 97208-4858 Ph: (541) 500-2555 | Icco, Llc 3400 Cooperative Way Lebanon OR 97355-4063 Ph: (541) 666-3305 |
| NPI Number | 1104490887 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104490887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
Mid-valley Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6413 Fax: 541-812-2041 | |
Premise Health Of Oregon Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Reeves Pkwy, Lebanon, OR 97355 Phone: 541-258-0221 Fax: 541-981-5187 | |
Benton County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Mullins Dr Ste A1, Lebanon, OR 97355 Phone: 541-766-0200 Fax: 541-766-6618 | |
Edencare 360 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31247 Mccraven Ln, Lebanon, OR 97355 Phone: 202-655-6550 | |
Stayton Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Ash St, Lebanon, OR 97355 Phone: 503-769-2641 Fax: 503-769-3797 |