| Icco Llc | |
|
5781 Main Street Springfield OR 97478 | |
| (541) 654-5245 | |
| (541) 844-1801 |
| Full Name | Icco Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5781 Main Street, Springfield, Oregon |
| Authorized Official Name and Position | Peggy J Anderson (BILLING OFFICE MANAGER) |
| Authorized Official Contact | 5412283865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icco Llc 1292 High Street Suite 224 Eugene OR 97401 Ph: (541) 228-3865 | Icco Llc 5781 Main Street Springfield OR 97478 Ph: (541) 654-5245 |
| NPI Number | 1639612880 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639612880 | NPI | - | NPPES |
| DP1360 | Other | OR | RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Eyecare Focus And Specialties Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 J St, Springfield, OR 97477 Phone: 541-726-5055 Fax: 541-747-5440 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Centennial Blvd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-284-5534 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2280 Marcola Rd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 | |
Larry A. Jackson, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd, Suite 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 | |
J Beverly Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 18th St Ste 6, Springfield, OR 97477 Phone: 541-517-3970 Fax: 458-201-8188 | |
Dr Richard F Erpelding Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd Ste 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 N 16th St, Suite 304, Springfield, OR 97477 Phone: 541-744-6172 |