OrganizationActive
Eden Healthcare LLC
NPI 1194317909 · Community/Retail Pharmacy · Medford, OR
Eden Healthcare LLC is a Community/Retail Pharmacy organization in Medford, OR (NPI 1194317909).
Provider details
- NPI number
- 1194317909
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dane Fickes, Owner(541) 329-0478
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
843 E Main St Ste 204
Medford, OR 97504-7137
Phone: (541) 329-0478
Fax: (541) 314-9556
Street-level locationGet directions
Mailing address
843 E Main St Ste 204
Medford, OR 97504-7137
Registry dates
- Enumerated
- 2021-02-03
- Last updated
- 2021-07-25
- Certified
- 2021-07-25
Frequently asked questions
- What is Eden Healthcare LLC's NPI number?
- Eden Healthcare LLC's National Provider Identifier (NPI) is 1194317909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eden Healthcare LLC?
- Eden Healthcare LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Eden Healthcare LLC located?
- Eden Healthcare LLC's practice location on file with NPPES is 843 E Main St Ste 204, Medford, OR 97504-7137.
- What is Eden Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Eden Healthcare LLC is (541) 329-0478.
- Who is the authorized official for Eden Healthcare LLC?
- The authorized official listed on Eden Healthcare LLC's NPPES record is Dane Fickes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eden Healthcare LLC's NPI active?
- Yes — Eden Healthcare LLC's NPI (1194317909) is active in the NPPES registry as of the last update on 2021-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.