Jennings Mccall Center
LBN: Jennings Mccall Center
Jennings Mccall Center is an health care organization with primary practice located at 2221 Oak St , Forest Grove OR 97116-2052. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Jennings Mccall Center can be contacted via phone (503) 359-4465, or through Komraus, Rick via phone (503) 357-3158.
Contact Information
Primary practice address
2221 Oak St
Forest Grove OR 97116-2052
Phone: (503) 359-4465
Fax: (503) 359-8552
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X |
Profile Details
NPI number | 1730705823 |
---|---|
LBN Legal business name | Jennings Mccall Center |
DBA Doing business as | |
Authorized official | Komraus, Rick |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jun 24th, 2020 |
Last updated | Jun 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730705823 | NPPES |
Oregon | MEDICAID | 521693 | |
Oregon | MEDICAID | 524956 |
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