County Of Jefferson

LBN: County Of Jefferson
County Of Jefferson is an health care organization with primary practice located at 715 Sw 4Th St Suite C, Madras OR 97741-1022. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. County Of Jefferson can be contacted via phone (541) 475-4456, or through Machala, Tom M via phone (541) 475-4456.

Contact Information

Primary practice address
715 Sw 4Th St Suite C Madras OR 97741-1022
Fax: (541) 475-0132
Website:
Authorized official contact:
Name: Machala, Tom M Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X CH-0000017 Oregon

Profile Details

NPI number 1235307067
LBN Legal business name County Of Jefferson
DBA Doing business as
Authorized official Machala, Tom M Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2008
Last updated Oct 13th, 2010 - about 15 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 1235307067 NPPES
Oregon MEDICAID 043070
Oregon MEDICAID 096776
Oregon MEDICAID 320424

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