WVP FLAMING MEDICAL CENTER
NPI 1164780060
Clinic/Center - Primary Care in Dallas, OR

Active since April 27, 2012
1000 SE UGLOW AVE, DALLAS, OR 97338(503) 623-8376 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wvp Flaming Medical Center NPPES

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

WVP FLAMING MEDICAL CENTER (NPI 1164780060) is a healthcare organization registered as a primary care in Dallas, Oregon and active in the NPI registry since April 2012. The organization lists Kathy Deaton, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1164780060
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWVP MEDICAL GROUP, LLC
Location Address1000 SE UGLOW AVEDallas, OR 97338-2645
Mailing Address2995 Ryan Dr Se Ste 200Salem, OR 97301-5157 · (503) 371-7701
Organization SubpartYesParent: Wvp Medical Group
Authorized OfficialKathy DeatonPractice Administrator · (503) 623-8376
Enumeration DateApril 27, 2012
Last NPPES UpdateApril 17, 2018
✔ NPI 1164780060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in OR · DO10396✔ Licensed in OR · PA00266✔ Licensed in OR · PA153023✔ Licensed in OR · DO15134
1000 SE UGLOW AVE, Dallas, OR 97338

Other Names 1

Doing Business AsWvp Flaming Medical Center

Other Identifiers 1

Medicaid288533OR

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)

Wvp Flaming Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wvp Flaming Medical Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1245808047
2995 RYAN DR SE STE 200
Salem, OR 97301
(503) 371-7701
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1013099522
3995 MARCOLA ROAD
Springfield, OR 97477
(541) 726-1465
✔ PECOS✔ Accepts Medicare61 mi

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 Wvp Medical Group, LLC's NPI number?

The NPI number for Wvp Medical Group, LLC is 1164780060. It was assigned to this organization in the NPPES registry on April 27, 2012. The provider is doing business as Wvp Flaming Medical Center.

Where is Wvp Medical Group, LLC located?

Wvp Medical Group, LLC is located at 1000 SE Uglow Ave, Dallas, OR 97338. The listed phone number is (503) 623-8376.

What is Wvp Medical Group, LLC's specialty?

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

Is Wvp Medical Group, LLC enrolled in Medicare?

Yes. Wvp Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wvp Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wvp Medical Group, LLC, in Clinical Social Worker and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wvp Medical Group, LLC accept?

Health plans from Providence Health Plan list Wvp Medical Group, 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 Wvp Medical Group, LLC was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.