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BESTMED
NPI 1053854208
Clinic/Center - Primary Care in Roseburg, OR

Active since November 21, 2016CLIA 38D2069950 · Waiver
1740 NW GOETZ STREET, ROSEBURG, OR 97471(541) 672-4885(541) 672-4782 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2019, Nov 21, 2016 (2 updates tracked since 2016).

About Bestmed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BESTMED (NPI 1053854208) is a healthcare organization registered as a primary care in Roseburg, Oregon and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Peggy J Anderson, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053854208
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameICCO LLC
Location Address1740 NW GOETZ STREETRoseburg, OR 97471
Mailing Address1292 High Street, Suite 224Eugene, OR 97401 · (541) 228-3865 · Fax (541) 654-4693
Phone(541) 672-4885
Fax(541) 672-4782
Organization SubpartNo
Authorized OfficialPeggy J AndersonBilling Manager · (541) 672-4885
Enumeration DateNovember 21, 2016
Last NPPES UpdateJune 20, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1053854208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1740 NW GOETZ STREET, Roseburg, OR 97471
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Other Names 1

Doing Business AsBestmed

Other Identifiers 1

OtherDP1360OR · Rr Medicare Ptan

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2069950

Icco Dba Best Med · Roseburg, OR
Active · expires Jul 20, 2027
CLIA Number38D2069950
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorDr. Marc Schnapper
Laboratory Phone(337) 465-4604
Laboratory LocationIcco Dba Best Med1740 NW Goetz St, Roseburg, OR 97471
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icco LLC's NPI number?

The NPI number for Icco LLC is 1053854208. It was assigned to this organization in the NPPES registry on November 21, 2016. The provider is doing business as Bestmed.

Where is Icco LLC located?

Icco LLC is located at 1740 NW Goetz Street, Roseburg, OR 97471. The listed phone number is (541) 672-4885.

What is Icco LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Icco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2069950) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Icco LLC was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.