Organization · Type 2 NPI

Icco LLC

Primary Care Clinic/Center · Harrisburg, OR

NPI number 1922458371 Active

Practice location

420 Smith St
Harrisburg, OR 97446

Call (541) 995-5266 Map

Fax (541) 995-5245

Mailing address

1292 High St, Suite 224
Eugene, OR 97401-3238

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed
Urgent Care Clinic/Center	261QU0200X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1922458371
Entity type: Organization (Type 2)
Issued: Jun 16, 2016
Last updated: Jun 13, 2019
Status: Active

Other names

<unavail>
Harrisburg Medical Clinic · doing business as
Nova Health Harrisburg · doing business as

Authorized official

Dr. Douglas D Bailey, MD
Medical Director Harrisburg Clinic
(541) 998-6750

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922458371

Icco LLC's National Provider Identifier is 1922458371, issued on Jun 16, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Harrisburg, OR. The record was last updated on Jun 13, 2019.