Willamette Community Medical Group, LLC
NPI 1104062371 · Non-Pharmacy Dispensing Site · Springfield, OR
Willamette Community Medical Group, LLC is a Non-Pharmacy Dispensing Site organization in Springfield, OR (NPI 1104062371).
Provider details
- NPI number
- 1104062371
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- MD15590 (OR)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Omg Thurston Medical Group
Registry dates
- Enumerated
- 2008-12-18
- Last updated
- 2008-12-18
Frequently asked questions
- What is Willamette Community Medical Group, LLC's NPI number?
- Willamette Community Medical Group, LLC's National Provider Identifier (NPI) is 1104062371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willamette Community Medical Group, LLC?
- Willamette Community Medical Group, LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Willamette Community Medical Group, LLC located?
- Willamette Community Medical Group, LLC's practice location on file with NPPES is 5781 Main St, Springfield, OR 97478-5426.
- What is Willamette Community Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Willamette Community Medical Group, LLC is (541) 284-1694.
- Who is the authorized official for Willamette Community Medical Group, LLC?
- The authorized official listed on Willamette Community Medical Group, LLC's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willamette Community Medical Group, LLC's NPI active?
- Yes — Willamette Community Medical Group, LLC's NPI (1104062371) is active in the NPPES registry as of the last update on 2008-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.