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LLC
NPI 1740368901
Family Medicine in Bandon, OR

Active since November 02, 2006
475 ELMIRA AVE SE, SUITE 103, BANDON, OR 97411(541) 347-2111(541) 347-1212 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Llc NPPES

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

LLC (NPI 1740368901) is a healthcare organization registered as a family medicine in Bandon, Oregon and active in the NPI registry since November 2006. The organization lists Gail Koch Mcclave, Owner, as its authorized official.

NPPES Registry Identity

NPI1740368901
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGAIL K MCCLAVE MD LLC
Location Address475 ELMIRA AVE SE, SUITE 103Bandon, OR 97411-7405
Mailing AddressPo Box 393Bandon, OR 97411 · (541) 347-2111 · Fax (541) 347-1212
Phone(541) 347-2111
Fax(541) 347-1212
Organization SubpartNo
Authorized OfficialGail Koch McclaveOwner · (541) 347-2111
Enumeration DateNovember 2, 2006
Last NPPES UpdateMay 16, 2014
✔ NPI 1740368901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
475 ELMIRA AVE SE, Bandon, OR 97411
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Other Names 1

Other NameLlc

Other Identifiers 3

Medicaid287386OR
Medicare UPING79392
Medicare ID-Type Unspecified133066OR

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

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

GAIL K MCCLAVE MD
Family Medicine
475 ELMIRA AVE SE, SUITE103
BANDON, OR 97411
Coos County (541) 347-2111

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 Gail K Mcclave MD LLC's NPI number?

The NPI number for Gail K Mcclave MD LLC is 1740368901. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is also known as LLC.

Where is Gail K Mcclave MD LLC located?

Gail K Mcclave MD LLC is located at 475 Elmira Ave SE Suite 103, Bandon, OR 97411. The listed phone number is (541) 347-2111.

What is Gail K Mcclave MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gail K Mcclave MD LLC was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.