County Of Polk

LBN: County Of Polk
County Of Polk is an health care organization with primary practice located at 182 Sw Academy Street Suite 302, Dallas OR 97338-1922. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, Ambulatory Health Care Facilities / Public Health, State or Local. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty. County Of Polk can be contacted via phone (503) 623-8175, or through Hansen, Greg P. via phone (503) 623-8173.

Contact Information

Primary practice address
182 Sw Academy Street Suite 302 Dallas OR 97338-1922
Phone: (503) 623-8175
Fax: (503) 831-3499
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Greg P.
Phone: (503) 623-8173

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1710910781
LBN Legal business name County Of Polk
DBA Doing business as
Authorized official Hansen, Greg P.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 23rd, 2015 - about 9 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 1710910781 NPPES
Oregon MEDICAID 043526
Oregon MEDICAID 096610
Oregon MEDICAID 320101

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