COTTAGE GROVE URGENT CARE
NPI 1750492906
Clinic/Center in Cottage Grove, OR
NPI Status: Active since August 31, 2006
Contact Information
1445 GATEWAY BLVD
COTTAGE GROVE, OR
ZIP 97424
Phone: (541) 942-7000
Fax: (541) 942-5550
- Organization
- Clinic/Center
- CLIA Number: 53D2258046
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 04-14-2026
About COTTAGE GROVE URGENT CARE
This page provides the complete NPI Profile along with additional information for Cottage Grove Urgent Care, a provider established in Cottage Grove, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750492906 assigned on August 2006. The practitioner's primary taxonomy code is 261Q00000X with license number MD25942 (OR). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Cottage Grove Urgent Care. The authorized official of this NPI record is Alexander K Morley Md (Medical Director)
- NPI
- 1750492906
- Provider Legal Name
- ICCO LLC
- Other Organization Name
- COTTAGE GROVE URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424
- Location Phone
- (541) 942-7000
- Location Fax
- (541) 942-5550
- Mailing Address
- 1292 HIGH STREET SUITE 224 EUGENE, OR 97401
- Mailing Phone
- (541) 641-6053
- Mailing Fax
- (541) 942-5550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 06-16-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD25942
- License State
- OR
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | PA00462 (OR) |
| 2 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | MD10106 (OR) |
| 3 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | PA01017 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 06691900 | OTHER (01) | OR | BLUE CROSS/BLUE SHIELD |
| 150890 | MEDICAID (05) | OR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 53D2258046
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- April 15, 2024
- Certificate Expiration Date
- April 14, 2026
- Laboratory Director
- DANIEL SURDAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cottage Grove Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for COTTAGE GROVE URGENT CARE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 9 | 2 | 9 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 9 | 4 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 9 + 4 + 9 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1750492906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093714701 | NANCY J WORLEY PT Individual | Physical Medicine & Rehabilitation | 1445 GATEWAY BLVD SUITE D COTTAGE GROVE, OR 97424 (541) 942-7000 |
| 1225001720 | JUDITH DOLENE STENSLAND FNP Individual | Family Medicine | 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424 (541) 942-7000 |
| 1407872815 | MRS. DIANA L. V. KNEE LCSW Individual | Social Worker (Clinical) | 1445 GATEWAY BLVD SUITE A COTTAGE GROVE, OR 97424 (541) 942-0040 |
| 1609068998 | COVERED BRIDGE PHYSICAL THERAPY LLC Organization | Clinic/Center (Physical Therapy) | 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424 (541) 942-7000 |
| 1578880548 | MR. LARRY ARTHUR JACKSON M.D. Individual | Family Medicine | 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424 (541) 942-7000 |
| 1215936661 | MR. THOMAS A FIRTH MD Individual | Internal Medicine | 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424 (541) 942-7000 |
| 1932281656 | MR. WILLIAM VOGEL PA-C Individual | Physician Assistant | 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424 (541) 640-7625 |
| 1891070207 | DEVON E. SCHNEIDER FNP Individual | Nurse Practitioner (Family) | 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424 (541) 640-7625 |
| 1336725233 | ICCO, LLC Organization | Clinic/Center (Rural Health) | 1445 GATEWAY BLVD COTTAGE GROVE, OR 97424 (541) 942-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750492906, enumerated in the NPI registry as an "organization" on August 31, 2006
The provider is located at 1445 Gateway Blvd Cottage Grove, Or 97424 and the phone number is (541) 942-7000
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 53D2258046 for a "other - urgent care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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