County Of Crook
LBN: County Of Crook
County Of Crook is an health care organization with primary practice located at 375 Nw Beaver St Suite 100, Prineville OR 97754. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, Ambulatory Health Care Facilities / Public Health, Federal, Ambulatory Health Care Facilities / Public Health, State or Local. Ambulatory Health Care Facilities / Public Health, Federal is the primary health care specialty.
County Of Crook can be contacted via phone (541) 447-5165, or through Hodges, Holly Jo Ledgerwood via phone (541) 477-6263.
Contact Information
Primary practice address
375 Nw Beaver St Suite 100
Prineville OR 97754
Phone: (541) 447-5165
Fax: (541) 477-3093
Website:
Authorized official contact:
Name: Hodges, Holly Jo Ledgerwood Doctor of Medicine (MD)
Phone: (541) 477-6263
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Case Management | 251B00000X | ||
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility | 261QA0005X | ||
Ambulatory Health Care Facilities / Public Health, Federal | 261QP0904X | MD19870 | Oregon |
Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X | MD19870 | Oregon |
Profile Details
NPI number | 1841304920 |
---|---|
LBN Legal business name | County Of Crook |
DBA Doing business as | |
Authorized official | Hodges, Holly Jo Ledgerwood Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Jul 27th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841304920 | NPPES |
Oregon | MEDICAID | 043005 | |
Oregon | MEDICAID | 054494 | |
Oregon | MEDICAID | 320317 |
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