Icco, LLC is a Rural Health Clinic/Center (organization) practicing in North Bend, Oregon. The National Provider Identifier (NPI) is #1811570187, which was assigned on May 4, 2021, and the registration record was last updated on June 29, 2022. The practitioner's main practice location is at 1226 Virginia Ave, North Bend, OR 97459-2716; the contact telephone number is 5413054224, and the fax number is 5419984571. The primary taxonomy of Icco, LLC is Rural Health Clinic/Center (261QR1300X), with specialization in Rural Health. The authorized official for Icco, LLC is Erica Hauser (Cfo).
NPI | 1811570187 |
Entity Type | Organization |
Organization Name | ICCO, LLC |
Provider Name | ICCO, LLC |
Other Organization Name |
BESTMED (Doing Business As Name) |
Other Name | BESTMED |
Practice Address |
1226 Virginia Ave North Bend OR 97459-2716 |
Practice Telephone | 5413054224 |
Practice Fax Number | 5419984571 |
Mailing Address |
Po Box 4858 Portland OR 97208-4858 |
Certification Date | 2022-06-29 |
Enumeration Date | 2021-05-04 |
Last Update Date | 2022-06-29 |
Is Organization Subpart | N |
Official Name | ERICA HAUSER |
Official Title | CFO |
Telephone | 3125905372 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 261QR1300X | Clinic/Center | Rural Health |
Other Organization Name | Type |
---|---|
BestMed | Doing Business As Name |
Nova Health | Doing Business As Name |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Icco, LLC · Eugene Urgent Care-Coburg | 1800 Coburg Rd, Eugene, OR 97401-4945 | Urgent Care Clinic/Center | 2009-10-07 |
Icco, LLC · Atlas Physical & Hand Therapy | 1800 Coburg Rd, Eugene, OR 97401-4995 | Physical Therapist | 2016-11-14 |
Icco, LLC · Thurston Urgent Care | 5781 Main St, Springfield, OR 97478-5426 | Urgent Care Clinic/Center | 2011-07-19 |
Icco, LLC · Bestmed | 355 W 3rd Ave, Junction City, OR 97448-1313 | Rural Health Clinic/Center | 2020-09-17 |
Icco, LLC · Musculoskeletal Clinic | 598 E 13th Ave, Eugene, OR 97401-4783 | Sports Medicine (Family Medicine) Physician | 2017-10-13 |
Icco, LLC · Bestmed | 87983 Territorial Hwy, Veneta, OR 97487 | Rural Health Clinic/Center | 2021-04-13 |
Icco, LLC · Bestmed | 1740 Nw Goetz St, Roseburg, OR 97471-1613 | Rural Health Clinic/Center | 2021-05-04 |
Icco, LLC · Bestmed | 1755 Sw Baker St, Mcminnville, OR 97128-9112 | Rural Health Clinic/Center | 2021-07-07 |
Icco, LLC · Prime Care Partners Veneta | 25045 Dunham Avenue, Veneta, OR 97487 | Clinic/Center | 2016-12-20 |
Icco, LLC | 1623 N 1st St, Hermiston, OR 97838-1106 | Rural Health Clinic/Center | 2023-05-17 |
Find all providers with the same name |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Care United Medical Center of Laramie, LLC · Bestmed | 3810 E Grand Ave, Laramie, WY 82070-5179 | Multi-Specialty Clinic/Center | 2010-09-16 |
Icco LLC · Bestmed | 1740 Nw Goetz Street, Roseburg, OR 97471 | Primary Care Clinic/Center | 2016-11-21 |
Icco LLC · Bestmed | 2710 Willamette Street, Eugene, OR 97405 | Primary Care Clinic/Center | 2016-11-21 |
Icco LLC · Bestmed | 35859 Highway 58, Pleasant Hill, OR 97455-9651 | Primary Care Clinic/Center | 2015-03-19 |
Physicians Immediate Care & Medical Centers, P.s. · Bestmed | 1215 George Washington Way, Richland, WA 99352-3411 | Family Medicine Physician | 2006-07-28 |
Icco LLC · Bestmed | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | Rural Health Clinic/Center | 2020-09-17 |
Peak Health & Wellness, LLC · Bestmed | 403 W Main St, Belgrade, MT 59714-3401 | Family Medicine Physician | 2007-01-26 |
Code | 261QR1300X |
Taxonomy | Rural Health Clinic/Center |
Classification | Clinic/Center |
Specialization | Rural Health |
Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come... |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Marshall County Hma, LLC | 1400 Bryan Dr Ste 301, Durant, OK 74701-2158 | Rural Health Clinic/Center | 2024-03-06 |
Mary Rutan Hospital | 2231 Timber Trl, Bellefontaine, OH 43311-9036 | Rural Health Clinic/Center | 2024-02-13 |
Marshall County Hma, LLC | 1592 S Virginia Ave, Atoka, OK 74525-3246 | Rural Health Clinic/Center | 2024-02-13 |
Meadowcrest Healthcare Services LLC | 512 N Lecanto Hwy, Lecanto, FL 34461-8547 | Rural Health Clinic/Center | 2024-02-21 |
Crossroads Medical Group, PLLC | 342 Frey St, Ashland City, TN 37015-1734 | Rural Health Clinic/Center | 2024-03-06 |
Marshall County Hma, LLC | 701 Highway 70 E, Kingston, OK 73439-8253 | Rural Health Clinic/Center | 2024-02-13 |
Liberty County Hospital District No 1 · Liberty Dayton Medical Specialty Clinic | 1202 N Travis St, Liberty, TX 77575-3540 | Rural Health Clinic/Center | 2024-03-04 |
Titus County Hospital District | 250 Mount Pleasant Rd, Bogata, TX 75417-2769 | Rural Health Clinic/Center | 2024-03-01 |
S & S Behavioral Health, LLC · S & S Wellness Hub | 1907 E Pittsburg Church Rd, London, KY 40741-9047 | Rural Health Clinic/Center | 2024-03-07 |
Osama Shuaib Ismail Md | 110 E Byrd Ave, Bonifay, FL 32425-3004 | Rural Health Clinic/Center | 2024-02-28 |
Find all providers with the same taxonomy |
Street Address |
1226 VIRGINIA AVE |
City | NORTH BEND |
State | OR |
Zip Code | 97459-2716 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Travis Welch | 1226 Virginia Ave, North Bend, OR 97459-2716 | Student in an Organized Health Care Education/Training Program | 2023-09-20 |
Dana Lynn Harbuck · Dana Lynn Jones | 1226 Virginia Ave, North Bend, OR 97459-2716 | Family Medicine Physician | 2018-02-13 |
Amy Hinshaw | 1226 Virginia Ave, North Bend, OR 97459-2716 | Nurse Practitioner | 2018-03-20 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Lighthouse Wellness Institute Inc · Lighthouse Health and Wellness | 2182 Broadway Ave, North Bend, OR 97459 | Health Service Clinic/Center | 2018-11-23 |
Tianna Finn | 1913 Meade Street, North Bend, OR 97459 | Peer Specialist | 2017-05-04 |
Mary Kay Weikel | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | Massage Therapist | 2010-10-14 |
Nancy Jane Dooley | 2310 Connecticut, North Bend, OR 97459 | Pharmacy Technician | 2006-10-02 |
Uscg Sector North Bend Medical Facility | 1655 Maple Stmartin J Neimeroff Cl, North Bend, OR 97459 | Military/U.S. Coast Guard Pharmacy | 2021-07-21 |
John Anton Partmann | 67714 No. Bay Rd., No. Bend, OR 97459 | Chiropractor | 2007-01-08 |
Penny Peters | 1975 Mcpherson, Ste 2, North Bend, OR 97459 | Peer Specialist | 2017-11-09 |
Waterfall Clinic Incorporated | 1885 Waite Street, North Bend, OR 97459 | General Practice Dentistry | 2022-05-06 |
Ya-Chi Claire Chang | 1229 1890 Waite St #1, North Bend, OR 97459 | Family Nurse Practitioner | 2020-01-15 |
Paige Emily Undseth · Paige Emily Holte | 3959 Sheridan Ave., North Bend, OR 97459 | Occupational Therapy Assistant | 2014-02-05 |
Find all providers in the same zip code |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Texas Bestmed Urgent Care LLC | 114 S Lhs Dr, Lumberton, TX 77657-8600 | Urgent Care Clinic/Center | 2015-12-14 |
Icco LLC · Five Rivers Family Practice | 48134 Hwy 58, Oakridge, OR 97463 | Clinic/Center | 2006-12-19 |
Abayo Adelana · Bestmed Health Care | 2307 Oak Ln Ste 200, Grand Prairie, TX 75051-8286 | Durable Medical Equipment & Medical Supplies | 2006-07-06 |
Bestmed-Care Services,Ltd | 15008 S Woodlawn Avenue, Dolton, IL 60419 | Home Health Agency | 2010-10-21 |
Icco LLC · Eugene Urgent Care | 1292 High Street, Suite 224, Eugene, OR 97401 | Medical Physician Assistant | 2015-12-10 |
Icco LLC · Roseburg Urgent Care | 1740 Nw Goetz St, Roseburg, OR 97471-1613 | Urgent Care Clinic/Center | 2013-11-20 |
Icco LLC · Prime Care Partners | 5781 Main Street, Springfield, OR 97478 | Primary Care Clinic/Center | 2016-11-21 |
Icco LLC · Prime Care Partners | 1800 Coburg Road, Eugene, OR 97401 | Primary Care Clinic/Center | 2015-12-30 |
Bestmed Respiratory Inc | 104 W 5th St, Carroll, IA 51401 | Oxygen Equipment & Supplies (DME) | 2006-01-18 |
Icco LLC · Eugene Urgent Care | 2710 Willamette St, Eugene, OR 97405-3238 | Urgent Care Clinic/Center | 2014-02-27 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |