OBSIDIAN URGENT CARE, PC
NPI 1255498473
Nurse Practitioner - Family in La Grande, OR

Active since January 03, 2007
401 ADAMS AVE, LA GRANDE, OR 97850(541) 962-7407(541) 962-7479 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Obsidian Urgent Care, Pc NPPES

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

OBSIDIAN URGENT CARE, PC (NPI 1255498473) is a healthcare organization registered as a family in La Grande, Oregon and active in the NPI registry since January 2007. The organization lists Daniel J Leone, President, as its authorized official.

NPPES Registry Identity

NPI1255498473
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOBSIDIAN URGENT CARE, PC
Location Address401 ADAMS AVELa Grande, OR 97850-1619
Mailing Address401 Adams AveLa Grande, OR 97850-1619 · (541) 962-7407 · Fax (541) 962-7479
Fax(541) 962-7479
Organization SubpartNo
Authorized OfficialDaniel J LeonePresident · (541) 962-7407
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 4, 2008
NPI 1255498473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OR · 087000017N1 FNP-PP Licensed in OR · 200050027NP-FNP-PP
401 ADAMS AVE, La Grande, OR 97850

Other Identifiers 5

Other831550000OR · Group Number For Bcbs
Medicare PINR121473OR
Other931176109OR · Group Number For All Oth
Medicare UPINR83634OR
Medicaid118286OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Adult Health)
401 ADAMS AVE
LA GRANDE, OR 97850
Nurse Practitioner (Psychiatric/Mental Health)
401 ADAMS AVE
LA GRANDE, OR 97850

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 Obsidian Urgent Care, PC's NPI number?

The NPI number for Obsidian Urgent Care, PC is 1255498473. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Obsidian Urgent Care, PC located?

Obsidian Urgent Care, PC is located at 401 Adams Ave, La Grande, OR 97850. The listed phone number is (541) 962-7407.

What is Obsidian Urgent Care, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Obsidian Urgent Care, PC was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.