Jasper Mountain

LBN: Jasper Mountain
Jasper Mountain is an health care organization with primary practice located at 37875 Jasper Lowell Rd , Jasper OR 97438-9751. The organization recently has 4 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Respite Care Facility / Respite Care, Mental Illness, Child. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Jasper Mountain can be contacted via phone (541) 747-1235, or through Lively, Carita Chantel via phone (541) 747-1235.

Contact Information

Primary practice address
37875 Jasper Lowell Rd Jasper OR 97438-9751
Phone: (541) 747-1235
Fax: (541) 747-4722
Website:
Map and Directions
Authorized official contact:
Name: Lively, Carita Chantel
Phone: (541) 747-1235

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Oregon
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Oregon
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X Oregon

Profile Details

NPI number 1497821680
LBN Legal business name Jasper Mountain
DBA Doing business as
Authorized official Lively, Carita Chantel
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Mar 8th, 2024 - about 8 months 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 1497821680 NPPES
Oregon MEDICAID 313495
Oregon MEDICAID 178087

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