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COTTAGE GROVE URGENT CARE
NPI 1750492906
Clinic/Center in Cottage Grove, OR

Active since August 31, 2006CLIA 53D2258046 · Waiver
1445 GATEWAY BLVD, COTTAGE GROVE, OR 97424(541) 942-7000(541) 942-5550 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Mar 6, 2018, Aug 3, 2017 and 1 more (4 updates tracked since 2017).

About Cottage Grove Urgent Care NPPES

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

COTTAGE GROVE URGENT CARE (NPI 1750492906) is a healthcare organization registered as a clinic/center in Cottage Grove, Oregon and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Alexander K Morley, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1750492906
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameICCO LLC
Location Address1445 GATEWAY BLVDCottage Grove, OR 97424-1224
Mailing Address1292 High Street, Suite 224Eugene, OR 97401 · (541) 641-6053 · Fax (541) 485-9987
Phone(541) 942-7000
Fax(541) 942-5550
Organization SubpartNo
Authorized OfficialAlexander K MorleyMedical Director · (541) 641-6053
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 16, 20184 updates tracked since enumeration
✔ NPI 1750492906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Licenses✔ Licensed in OR · MD25942✔ Licensed in OR · PA00462✔ Licensed in OR · MD10106✔ Licensed in OR · PA01017
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).

1445 GATEWAY BLVD, Cottage Grove, OR 97424
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Other Names 2

Doing Business AsCottage Grove Urgent Care
Doing Business AsCottage Grove Medical Clinic

Other Identifiers 2

Other06691900OR · Blue Cross/blue Shield
Medicaid150890OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2258046

Icco Dba Bestmed · Casper, WY
Active · expires Apr 14, 2028
CLIA Number53D2258046
Laboratory TypeUrgent Care
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorDaniel Surdam
Laboratory Phone(541) 641-6053
Laboratory LocationIcco Dba Bestmed2025 E 2nd St, Casper, WY 82609
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

NANCY J WORLEY PT
Physical Medicine & Rehabilitation
1445 GATEWAY BLVD, SUITE D
COTTAGE GROVE, OR 97424
Lane County (541) 942-7000
JUDITH DOLENE STENSLAND FNP
Family Medicine
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Lane County (541) 942-7000
MRS. DIANA L. V. KNEE LCSW
Social Worker (Clinical)
1445 GATEWAY BLVD, SUITE A
COTTAGE GROVE, OR 97424
Lane County (541) 942-0040
COVERED BRIDGE PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Lane County (541) 942-7000
MR. LARRY ARTHUR JACKSON M.D.
Family Medicine
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Lane County (541) 942-7000
MR. THOMAS A FIRTH MD
Internal Medicine
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Lane County (541) 942-7000
MR. WILLIAM VOGEL PA-C
Physician Assistant
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Lane County (541) 640-7625
ICCO, LLC
Clinic/Center (Rural Health)
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Lane County (541) 942-7000

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 Icco LLC's NPI number?

The NPI number for Icco LLC is 1750492906. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Cottage Grove Urgent Care and Cottage Grove Medical Clinic.

Where is Icco LLC located?

Icco LLC is located at 1445 Gateway Blvd, Cottage Grove, OR 97424. The listed phone number is (541) 942-7000.

What is Icco LLC's specialty?

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

Does Icco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2258046) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Icco LLC was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.