Organization
ICCO LLC
Active
Other names
Pleasant Hill Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY J ANDERSON (BILLING OFFICE MANAGER)
(541) 228-3865
Entity
Organization
Contact information
Practice address
35859 HWY 58, PLEASANT HILL, OR 97455
(541) 988-7300
(541) 988-7320
Mailing address
1292 HIGH STREET, SUITE 224, EUGENE, OR 97401
(541) 228-3865
(541) 654-4693
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP1360
RR MEDICARE PTAN
OR
Enumeration date
11/21/2016
Last updated
11/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us