OrganizationActive
Valley Immediate Care, LLC
NPI 1114678133 · Non-Pharmacy Dispensing Site · Central Point, OR
Provider details
- NPI number
- 1114678133
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Diana Doran, Cfo(541) 734-9030
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1217 Plaza Blvd Ste a
Central Point, OR 97502-2682
Phone: (541) 734-9030
Fax: (541) 734-9885
Street-level locationGet directions
Mailing address
815 N Central Ave Ste C
Medford, OR 97501-5873
Other names (DBA / former)
- Other name
- Valley Immediate Care Central Point
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.