Pine Street Open Door

LBN: Klamath Health Partnership Inc
Pine Street Open Door is an health care organization with primary practice located at 403 Pine St , Klamath Falls OR 97601-6020. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Klamath Health Partnership Inc can be contacted via phone (541) 851-8110, or through Masters, Jeana via phone (541) 880-2011.

Contact Information

Primary practice address
403 Pine St Klamath Falls OR 97601-6020
Phone: (541) 851-8110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Masters, Jeana
Phone: (541) 880-2011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1548999667
LBN Legal business name Klamath Health Partnership Inc
DBA Doing business as Pine Street Open Door
Authorized official Masters, Jeana
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2022
Last updated Feb 6th, 2023 - about 2 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 1548999667 NPPES
Oregon Other R101150 MEDICARE-B
Oregon MEDICAID 170061 MEDICARE-B

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