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Eden Healthcare LLC

Community/Retail Pharmacy in Medford, OR · enumerated 2021 · authorized official Dane Fickes, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194317909

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Registry record

Entity type Organization (Type 2)
Legal business name Eden Healthcare LLC
Practice address 843 E Main St Ste 204, Medford, OR, 97504
Phone (541) 329-0478
Fax (541) 314-9556
Enumeration date Feb 3, 2021
Last updated in NPPES Jul 25, 2021

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Dane Fickes
Title Owner
Phone (541) 329-0478

Other identifiers

Identifier Type State Issuer
RP-0003659 Other OR OREGON BOARD OF PHARMACY RETAIL DRUG OUTLET LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Eden Healthcare LLC?
NPPES lists Dane Fickes (Owner) as the authorized official for this organization.
What is the NPI number for Eden Healthcare LLC?
The NPI for Eden Healthcare LLC is 1194317909, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-25.