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Organization
VALLEY IMMEDIATE CARE, LLC
Active
Organization
VALLEY IMMEDIATE CARE, LLC
Active
Parent organization
VALLEY IMMEDIATE CARE LLC
Other names
Valley Immediate Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY IMMEDIATE CARE LLC
Authorized official
DIANA K DORAN (CFO)
(541) 734-9030
Entity
Organization
Contact information
Practice address
162 NE BEACON DR STE 103, GRANTS PASS, OR 97526-4260
(541) 734-9030
(541) 734-9885
Mailing address
815 N CENTRAL AVE STE C, MEDFORD, OR 97501-5873
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD24585
OR
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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