Polk County Mental Health

LBN: County Of Polk
Polk County Mental Health is an health care organization with primary practice located at 182 Sw Academy Suite 304, Dallas OR 97338-1922. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. County Of Polk can be contacted via phone (503) 623-9289, or through Hansen, Greg P via phone (503) 623-8173.

Contact Information

Primary practice address
182 Sw Academy Suite 304 Dallas OR 97338-1922
Phone: (503) 623-9289
Fax: (503) 831-1726
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Greg P
Phone: (503) 623-8173

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1427081470
LBN Legal business name County Of Polk
DBA Doing business as Polk County Mental Health
Authorized official Hansen, Greg P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Sep 5th, 2007 - about 18 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 1427081470 NPPES
Oregon MEDICAID 152660

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