CANBY HEALTHCARE CLINIC LLC
NPI 1114253713
Clinic/Center - Rural Health in Canby, OR
About Canby Healthcare Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANBY HEALTHCARE CLINIC LLC (NPI 1114253713), doing business as Canby Healthcare Clinic, is a healthcare organization registered as a rural health in Canby, Oregon and active in the NPI registry since November 2009. The organization lists Pauline L Richards, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Canby Healthcare Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Canby Healthcare Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Canby Healthcare Clinic LLC's NPI number?
The NPI number for Canby Healthcare Clinic LLC is 1114253713. It was assigned to this organization in the NPPES registry on November 2, 2009. The provider was formerly known as Canby Healthcare Clinic.
Where is Canby Healthcare Clinic LLC located?
Canby Healthcare Clinic LLC is located at 703 SE 1st Ave, Canby, OR 97013. The listed phone number is (503) 266-7686.
What is Canby Healthcare Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Canby Healthcare Clinic LLC enrolled in Medicare?
Yes. Canby Healthcare Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canby Healthcare Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Canby Healthcare Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Canby Healthcare Clinic LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Canby Healthcare Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Canby Healthcare Clinic LLC was last updated on February 14, 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.
# Canby Healthcare Clinic Llc · NPI 1114253713
Rural Health organization in Canby, Oregon. Organization record, active in the CMS NPPES registry since November 2, 2009.
## Identity
- **NPI:** 1114253713 (Entity type: Organization)
- **Enumerated:** November 2, 2009
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Pauline Richards, OWNER
## Practice location
- **Address:** 703 SE 1ST AVE, Canby, OR 97013-3849
- **Phone:** (503) 266-7686 · **Fax:** (503) 266-7382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2013
- **Other identifiers:** Medicare UPIN R152669 (OR); Medicaid 500618933 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114253713) · Data from the CMS NPPES public registry.