Harrisburg Medical Clinic

LBN: Icco Llc
Harrisburg Medical Clinic is an health care organization with primary practice located at 420 Smith St , Harrisburg OR 97446. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Icco Llc can be contacted via phone (541) 995-5266, or through Bailey, Douglas D via phone (541) 998-6750.

Contact Information

Primary practice address
420 Smith St Harrisburg OR 97446
Phone: (541) 995-5266
Fax: (541) 995-5245
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Douglas D Doctor of Medicine (MD)
Phone: (541) 998-6750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Oregon
Ambulatory Health Care Facilities / Urgent Care 261QU0200X Oregon

Profile Details

NPI number 1922458371
LBN Legal business name Icco Llc
DBA Doing business as Harrisburg Medical Clinic
Authorized official Bailey, Douglas D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 13th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers