JEFFERSON MEDICAL CLINIC – NPI #1285967133
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JEFFERSON MEDICAL CLINIC is a provider located in JEFFERSON, OR. NPPES has assigned the NPI number 1285967133 to JEFFERSON MEDICAL CLINIC on September 10, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEFFERSON MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is STAYTON FAMILY PRACTICE INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jun 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON MEDICAL CLINIC below.

NPI Profile for
STAYTON FAMILY PRACTICE INC

NPI Number
1285967133
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STAYTON FAMILY PRACTICE INC
Doing Business As (dba): JEFFERSON MEDICAL CLINIC
Primary location
294 2ND ST N
JEFFERSON, OR 97352
Phone: (541) 327-2380 Fax: (541) 327-2382
Mailing address
1881 W WASHINGTON ST
STAYTON, OR 97383-9511
Phone: (503) 400-6140 Fax: (503) 769-3797
Organization Subpart
No
Authorized Official
LANCE LARGE
OWNER
Phone: (503) 400-6140
Updated
Certification Date
Jun 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.