Integrated Youthcare, Llc
LBN: Integrated Youthcare, Llc
Integrated Youthcare, Llc is an health care organization with primary practice located at 673 Nw Jackson Ave , Corvallis OR 97330-4832. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Integrated Youthcare, Llc can be contacted via phone (541) 230-1630, or through Wiebe, Ron via phone (541) 230-1630.
Contact Information
Primary practice address
673 Nw Jackson Ave
Corvallis OR 97330-4832
Phone: (541) 230-1630
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C2485 | Oregon |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C2422 | Oregon |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4404 | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 200950078NP | Oregon |
Profile Details
NPI number | 1881832095 |
---|---|
LBN Legal business name | Integrated Youthcare, Llc |
DBA Doing business as | |
Authorized official | Wiebe, Ron |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 26th, 2009 |
Last updated | Jul 16th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881832095 | NPPES |
Oregon | Other | 1245386440 | NPI |
Oregon | Other | 1164568895 | NPI |
Oregon | Other | 1881832095 | NPI |
Oregon | Other | 1144439019 | NPI |
Oregon | Other | 1285862938 | NPI |
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