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COTTAGE GROVE COMMUNITY MEDICAL CT
NPI 1104264068
Clinic/Center - Rural Health in Dexter, OR

Active since June 12, 2013CLIA Certified · 3 labs
38843 DEXTER RD, DEXTER, OR 97431(541) 767-5200 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cottage Grove Community Medical Ct NPPES

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

COTTAGE GROVE COMMUNITY MEDICAL CT (NPI 1104264068) is a healthcare organization registered as a rural health in Dexter, Oregon and active in the NPI registry since June 2013. The organization holds 3 active CLIA laboratory certificates and lists Wendy Aplund, Region Cfo, as its authorized official.

NPPES Registry Identity

NPI1104264068
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEACEHEALTH
Location Address38843 DEXTER RDDexter, OR 97431-9600
Mailing AddressPo Box 569Eugene, OR 97440-0569
Phone(541) 767-5200
Organization SubpartNo
Authorized OfficialWendy AplundRegion Cfo · (541) 686-3968
Enumeration DateJune 12, 2013
✔ NPI 1104264068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
38843 DEXTER RD, Dexter, OR 97431
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Other Names 1

Doing Business AsCottage Grove Community Medical Ct

CLIA Laboratory Certificates CMS CLIA 3

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 38D2111246

Peacehealth Medical Group Creswell · Creswell, OR
Active · expires Mar 31, 2028
CLIA Number38D2111246
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorRebecca L. Mcbride
Laboratory Phone(541) 767-5200
Laboratory LocationPeacehealth Medical Group Creswell180 Melton Dr, Creswell, OR 97426
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D0627103

Peacehealth Pleasant Hill Primary Care Clinic · Pleasant Hill, OR
Active · expires Oct 31, 2027
CLIA Number38D0627103
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorRebecca L. Mcbride
Laboratory Phone(541) 767-5200
Laboratory LocationPeacehealth Pleasant Hill Primary Care Clinic35859 Or-58, Pleasant Hill, OR 97455
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D0699633

Peacehealth Medical Group Cottage Grove · Cottage Grove, OR
Active · expires Jul 19, 2027
CLIA Number38D0699633
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorRebecca L. Mcbride
Laboratory Phone(541) 767-5200
Laboratory LocationPeacehealth Medical Group Cottage Grove1515 Village Drive, Cottage Grove, OR 97424
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESIREE M DENNULL FNP
Nurse Practitioner
38843 DEXTER RD
DEXTER, OR 97431
Lane County (541) 937-2134
THE LAKESIDE CLINIC
Clinic/Center (Rural Health)
38843 DEXTER RD
DEXTER, OR 97431
Lane County (541) 937-2134
PEACEHEALTH
Clinic/Center (Rural Health)
38843 DEXTER RD
DEXTER, OR 97431
Lane County (541) 937-2134

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 Peacehealth's NPI number?

The NPI number for Peacehealth is 1104264068. It was assigned to this organization in the NPPES registry on June 12, 2013. The provider is doing business as Cottage Grove Community Medical Ct.

Where is Peacehealth located?

Peacehealth is located at 38843 Dexter Rd, Dexter, OR 97431. The listed phone number is (541) 767-5200.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Peacehealth hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.