EAGLE CAP CLINIC INC PC – NPI #1356424451
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

EAGLE CAP CLINIC INC PC is a provider located in BAKER CITY, OR. NPPES has assigned the NPI number 1356424451 to EAGLE CAP CLINIC INC PC on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 14 years ago on Nov 13, 2012. 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 EAGLE CAP CLINIC INC PC below.

NPI Profile for
EAGLE CAP CLINIC INC PC

NPI Number
1356424451
Enumeration Date

(more than 19 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
EAGLE CAP CLINIC INC PC
Primary location
3705 MIDWAY DR
BAKER CITY, OR 97814
Phone: (541) 523-4497 Fax: (541) 523-5471
Mailing address
PO BOX 69
BAKER CITY, OR 97814
Phone: (541) 523-4497 Fax: (541) 523-5471
Organization Subpart
No
Authorized Official
RANDY ALANKO
OWNER
Phone: (541) 523-4497
Updated
Identifiers

Identifiers for EAGLE CAP CLINIC INC PC

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
MEDICAIDOR287777
MEDICAIDOR175828
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
208D00000X
- General Practice (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.