Hooper Detoxification & Stabilization Center

LBN: Central City Concern
Hooper Detoxification & Stabilization Center is an health care organization with primary practice located at 1535 N Williams Ave , Portland OR 97227-1885. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Central City Concern can be contacted via phone (503) 238-2067, or through Mendenhall, Andrew via phone (503) 294-1681.

Contact Information

Primary practice address
1535 N Williams Ave Portland OR 97227-1885
Phone: (503) 238-2067
Fax: (503) 238-2004
Website:
Map and Directions
Authorized official contact:
Name: Mendenhall, Andrew Doctor of Medicine (MD)
Phone: (503) 294-1681

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1609084904
LBN Legal business name Central City Concern
DBA Doing business as Hooper Detoxification & Stabilization Center
Authorized official Mendenhall, Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Mar 6th, 2023 - about 2 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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