OrganizationActive
Icco LLC
NPI 1053854208 · Primary Care Clinic/Center · Roseburg, OR
Icco LLC is a Primary Care Clinic/Center organization in Roseburg, OR (NPI 1053854208).
Provider details
- NPI number
- 1053854208
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peggy Anderson, Billing Manager(541) 672-4885
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1740 Nw Goetz Street
Roseburg, OR 97471
Phone: (541) 672-4885
Fax: (541) 672-4782
Street-level locationGet directions
Mailing address
1292 High Street
Eugene, OR 97401
Other names (DBA / former)
- Doing business as
- Bestmed
Registry dates
- Enumerated
- 2016-11-21
- Last updated
- 2022-06-20
- Certified
- 2022-06-20
Frequently asked questions
- What is Icco LLC's NPI number?
- Icco LLC's National Provider Identifier (NPI) is 1053854208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icco LLC?
- Icco LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Icco LLC located?
- Icco LLC's practice location on file with NPPES is 1740 Nw Goetz Street, Roseburg, OR 97471.
- What is Icco LLC's phone number?
- The practice phone number listed in the NPPES registry for Icco LLC is (541) 672-4885.
- Who is the authorized official for Icco LLC?
- The authorized official listed on Icco LLC's NPPES record is Peggy Anderson, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icco LLC's NPI active?
- Yes — Icco LLC's NPI (1053854208) is active in the NPPES registry as of the last update on 2022-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.