Fifth Corner Community Services

LBN: Fifth Corner Academy
Fifth Corner Community Services is an health care organization with primary practice located at 1900 Ne Highway 99W Ste K , Mcminnville OR 97128-2757. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver, Other Service Providers / Research Study, Other Service Providers / Health Educator, Other Service Providers / Peer Specialist, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Other Service Providers / Prevention Professional. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Fifth Corner Academy can be contacted via phone (503) 472-4511, or through Wilson, Roxanne Franklin via phone (503) 714-6306.

Contact Information

Primary practice address
1900 Ne Highway 99W Ste K Mcminnville OR 97128-2757
Phone: (503) 472-4511
Fax: (503) 714-6306
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Roxanne Franklin BA, QMHA, PSS
Phone: (503) 714-6306

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Nursing Service Providers / Registered Nurse 163W00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Driver 172A00000X
Other Service Providers / Research Study 1744R1102X
Other Service Providers / Health Educator 174H00000X
Other Service Providers / Peer Specialist 175T00000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1033753231
LBN Legal business name Fifth Corner Academy
DBA Doing business as Fifth Corner Community Services
Authorized official Wilson, Roxanne Franklin BA, QMHA, PSS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2019
Last updated Mar 28th, 2020 - about 4 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 1033753231 NPPES
Oregon MEDICAID 1851475099

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