BESTMED
Complete NPI Record 1407004757
Clinic/Center - Urgent Care in Eugene, OR
Active since August 28, 2008CLIA Certified · 10 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Bestmed (NPI 1407004757), a clinic/center organization in Eugene, OR. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1407004757 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: ICCO, LLC Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: BESTMED Field 5/31
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/31
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 4858 Field 7/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: PORTLAND Field 8/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OR Field 9/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 972084858 Field 10/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 5412283865 Field 12/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 5416544693 Field 13/31
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 4040 W 11TH AVE Field 14/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: EUGENE Field 15/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: OR Field 16/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 974025601 Field 17/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5412283865 Field 19/31
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 5416544693 Field 20/31
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: HAUSER Field 23/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ERICA Field 24/31
- The first name of the authorized official.
- Authorized Official Title or Position: CFO Field 25/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 3125905372 Field 26/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QU0200X Field 27/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number State Code 1: OR Field 28/31
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 29/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 30/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 22
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1445 Gateway Blvd
Location 1/22Cottage Grove, OR 97424-1224 · Phone (541) 942-7000 · Fax (541) 942-5550
2710 Willamette St
Location 2/22Eugene, OR 97405-3238 · Phone (541) 735-3161 · Fax (541) 654-0298
5781 Main St
Location 3/22Springfield, OR 97478-5426 · Phone (541) 654-0282 · Fax (541) 654-0819
355 W 3rd Ave
Location 4/22Junction City, OR 97448-1313 · Phone (541) 998-6750 · Fax (541) 998-1247
35859 Highway 58
Location 5/22Pleasant Hill, OR 97455-9651 · Phone (541) 988-7300 · Fax (541) 688-7320
1740 NW Goetz St
Location 6/22Roseburg, OR 97471-1613 · Phone (541) 672-4789 · Fax (541) 672-4782
1800 Coburg Rd
Location 7/22Eugene, OR 97401-4995 · Phone (541) 345-8760 · Fax (541) 345-8763
87893 Territorial Rd
Location 8/22Veneta, OR 97487-9564 · Phone (541) 935-2200 · Fax (541) 935-6241
598 E 13th Ave
Location 9/22Eugene, OR 97401-4783 · Phone (541) 636-3473 · Fax (541) 636-3480
1623 N 1st St
Location 10/22Hermiston, OR 97838-1106 · Phone (458) 300-9014
3737 Shasta Way Ste A
Location 11/22Klamath Falls, OR 97603-4982 · Phone (541) 883-2337
3400 Cooperative Way
Location 12/22Lebanon, OR 97355-4063 · Phone (541) 666-3305
1755 SW Baker St
Location 13/22McMinnville, OR 97128-9112 · Phone (971) 900-4522
1226 Virginia Ave
Location 14/22North Bend, OR 97459-2716 · Phone (541) 305-4224
3818 SW 21st St Ste 100
Location 15/22Redmond, OR 97756-6802 · Phone (541) 548-2899
1555 S Highway 97
Location 16/22Redmond, OR 97756-9652 · Phone (541) 213-2133
780 NW Garden Valley Blvd Ste 310
Location 17/22Roseburg, OR 97471-2298 · Phone (541) 672-4885
2902 Tom Tennant Dr
Location 18/22Woodburn, OR 97071-2828 · Phone (971) 345-4767
108 NW Sisemore St Ste 120
Location 19/22Bend, OR 97703-2869 · Phone (541) 213-2133
186 W Ellendale Ave
Location 20/22Dallas, OR 97338-1408 · Phone (971) 900-4984
3675 Pacific Ave Unit 101
Location 21/22Forest Grove, OR 97116-2132 · Phone (971) 762-4611
1890 NW 6th St
Location 22/22Grants Pass, OR 97526-1038 · Phone (541) 507-0684
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