HARRISBURG MEDICAL CLINIC
NPI 1922458371
Clinic/Center - Primary Care in Harrisburg, OR
About Harrisburg Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARRISBURG MEDICAL CLINIC (NPI 1922458371) is a healthcare organization registered as a primary care in Harrisburg, Oregon and active in the NPI registry since June 2016. The organization lists Douglas D Bailey, Medical Director Harrisburg Clinic, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Harrisburg Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
189Medicare enrollment records show 189 clinicians reassign Medicare billing to Harrisburg Medical Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 189Source: 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 Icco LLC's NPI number?
The NPI number for Icco LLC is 1922458371. It was assigned to this organization in the NPPES registry on June 16, 2016. The provider is doing business as Harrisburg Medical Clinic and Nova Health Harrisburg.
Where is Icco LLC located?
Icco LLC is located at 420 Smith St, Harrisburg, OR 97446. The listed phone number is (541) 995-5266.
What is Icco LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Icco LLC enrolled in Medicare?
Yes. Icco LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Icco LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 189 clinicians in 7 Medicare specialties reassign their Medicare billing to Icco LLC. 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. The largest specialties are Nurse Practitioner (152), Family Practice (12) and Emergency Medicine (9). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Icco LLC was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Harrisburg Medical Clinic · NPI 1922458371
Primary Care organization in Harrisburg, Oregon. Organization record, active in the CMS NPPES registry since June 16, 2016.
## Identity
- **NPI:** 1922458371 (Entity type: Organization)
- **Enumerated:** June 16, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Icco Llc
- **Also known as:** Nova Health Harrisburg (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Douglas Bailey, MEDICAL DIRECTOR HARRISBURG CLINIC
## Practice location
- **Address:** 420 SMITH ST, Harrisburg, OR 97446
- **Phone:** (541) 995-5266 · **Fax:** (541) 995-5245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 189 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (152), Family Practice (12), Emergency Medicine (9); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1922458371/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1922458371) · Data from the CMS NPPES public registry.