Eastern Oregon Alcoholism Foundation

LBN: Eastern Oregon Alcoholism Foundation
Eastern Oregon Alcoholism Foundation is an health care organization with primary practice located at 216 Sw Hailey Avenue , Pendleton OR 97801. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Eastern Oregon Alcoholism Foundation can be contacted via phone (541) 276-3518, or through Dumont, Colin Peter via phone (541) 276-3518.

Contact Information

Primary practice address
216 Sw Hailey Avenue Pendleton OR 97801
Phone: (541) 276-3518
Fax: (541) 276-4189
Website:
Map and Directions
Authorized official contact:
Name: Dumont, Colin Peter CADCII, QMHP
Phone: (541) 276-3518

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Oregon
Agencies / Community/Behavioral Health 251S00000X Oregon
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Oregon

Profile Details

NPI number 1740324953
LBN Legal business name Eastern Oregon Alcoholism Foundation
DBA Doing business as
Authorized official Dumont, Colin Peter CADCII, QMHP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated May 4th, 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 1740324953 NPPES
Oregon MEDICAID 006405

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