Klamath Youth Development Center

LBN: Klamath Youth Development Center
Klamath Youth Development Center is an health care organization with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Klamath Youth Development Center can be contacted via phone (541) 883-1030, or through Waldron, Ashley Hanna via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601
Phone: (541) 883-1030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waldron, Ashley Hanna M.S
Phone: (541) 883-1030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1578991709
LBN Legal business name Klamath Youth Development Center
DBA Doing business as
Authorized official Waldron, Ashley Hanna M.S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2013
Last updated Oct 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578991709 NPPES
Oregon MEDICAID 223354

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