Phoenix Place

LBN: Klamath Child And Family Treatment Center
Phoenix Place is an health care organization with primary practice located at 725 Washburn Way , Klamath Falls OR 97603-3648. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Klamath Child And Family Treatment Center can be contacted via phone (541) 883-1030, or through Maddalena, Elizabeth via phone (541) 883-1030.

Contact Information

Primary practice address
725 Washburn Way Klamath Falls OR 97603-3648
Phone: (541) 883-1030
Fax: (541) 884-2338
Website:
Map and Directions
Authorized official contact:
Name: Maddalena, Elizabeth
Phone: (541) 883-1030

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Oregon

Profile Details

NPI number 1992949796
LBN Legal business name Klamath Child And Family Treatment Center
DBA Doing business as Phoenix Place
Authorized official Maddalena, Elizabeth
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Jan 16th, 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 1992949796 NPPES
Oregon MEDICAID 500500017

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