VENETA MEDICAL CLINIC – NPI #1518990621
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

VENETA MEDICAL CLINIC is a provider located in VENETA, OR. NPPES has assigned the NPI number 1518990621 to VENETA MEDICAL CLINIC on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VENETA MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is ICCO, LLC. 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 10 years ago on Aug 01, 2016. 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 VENETA MEDICAL CLINIC below.

NPI Profile for
ICCO, LLC

NPI Number
1518990621
Enumeration Date

(about 20 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
ICCO, LLC
Doing Business As (dba): VENETA MEDICAL CLINIC
Primary location
87983 TERRITORIAL RD
VENETA, OR 97487
Phone: (541) 935-2200 Fax: (541) 935-6241
Mailing address
PO BOX 145
VENETA, OR 97487
Phone: (541) 935-2200 Fax: (541) 935-6241
Organization Subpart
No
Authorized Official
MEGAN HENNEMAN
BILLING CLERK
Phone: (541) 935-2200
Updated
Identifiers

Identifiers for VENETA MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR054077
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.