VILLAGE HEALTHCARE OF CORVALLIS
NPI 1154555076
Clinic/Center in Corvallis, OR

Active since May 06, 2009
656 NW MIRADOR PL, CORVALLIS, OR 97330(541) 624-2040(503) 200-2258 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Village Healthcare Of Corvallis NPPES

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

VILLAGE HEALTHCARE OF CORVALLIS (NPI 1154555076) is a healthcare organization registered as a clinic/center in Corvallis, Oregon and active in the NPI registry since May 2009. The organization lists Renee Edwards, Manager Provider President, as its authorized official.

NPPES Registry Identity

NPI1154555076
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVILLAGE HEALTHCARE OF LA GRANDE, INC.
Location Address656 NW MIRADOR PLCorvallis, OR 97330-4698
Mailing Address656 Nw Mirador PlCorvallis, OR 97330-4698 · (541) 552-0386 · Fax (503) 200-2258
Fax(503) 200-2258
Organization SubpartNo
Authorized OfficialRenee EdwardsManager Provider President · (541) 552-0386
Enumeration DateMay 6, 2009
Last NPPES UpdateNovember 19, 2019
NPI 1154555076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OR · 200450130NP
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedPoint of ServiceTaxonomy 305S00000X
656 NW MIRADOR PL, Corvallis, OR 97330

Other Names 1

Doing Business AsVillage Healthcare Of Corvallis

Other Identifiers 2

Medicaid269505OR
Medicaid131713OR

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
656 NW MIRADOR PL
CORVALLIS, OR 97330

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 Village Healthcare Of La Grande, Inc.'s NPI number?

The NPI number for Village Healthcare Of La Grande, Inc. is 1154555076. It was assigned to this organization in the NPPES registry on May 6, 2009. The provider is doing business as Village Healthcare Of Corvallis.

Where is Village Healthcare Of La Grande, Inc. located?

Village Healthcare Of La Grande, Inc. is located at 656 NW Mirador Pl, Corvallis, OR 97330. The listed phone number is (541) 624-2040.

What is Village Healthcare Of La Grande, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Village Healthcare Of La Grande, Inc. was last updated on November 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.