Riverside Center

LBN: Adolescent Day Treatment Center Inc Of Douglas County
Riverside Center is an health care organization with primary practice located at 671 S.W. Main , Winston OR 97496. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Adolescent Day Treatment Center Inc Of Douglas County can be contacted via phone (541) 679-6129, or through Meyer, Bonna M via phone (541) 679-6129.

Contact Information

Primary practice address
671 S.W. Main Winston OR 97496
Fax:
Website:
Authorized official contact:
Name: Meyer, Bonna M

Health care specialties

Profile Details

NPI number 1629168166
LBN Legal business name Adolescent Day Treatment Center Inc Of Douglas County
DBA Doing business as Riverside Center
Authorized official Meyer, Bonna M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629168166 NPPES
Oregon MEDICAID 297927
Oregon MEDICAID 297928

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