ICCO LLC NPI 1255902557

NPI Information

NPI: 1255902557
Provider Name: ICCO, LLC

Doing Business As: BESTMED

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
2902 TOM TENNANT DR
WOODBURN, OR
ZIP 97071
Phone: (971) 345-4767
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ICCO, LLC is a rural health clinic center in Woodburn, OR. ICCO, LLC NPI is 1255902557. The provider is registered as an organization entity type.
The provider Is Doing Business As Bestmed.

The provider's business location address is:

2902 TOM TENNANT DR
WOODBURN, OR
ZIP 97071-828
Phone: (971) 345-4767
Fax: (971) 345-4769

The provider's authorized official is Erica Hauser .
The authorized official title is Cfo and has the following contact phone number (312) 590-5372.

The CLIA number assigned to this NPI record is 38D2231507 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2021 and was last updated on 6/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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