Hazel Center Srtf
LBN: Options For Southern Oregon
Hazel Center Srtf is an health care organization with primary practice located at 1911 Hazel Ave , Medford OR 97501-1630. 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.
Options For Southern Oregon can be contacted via phone (541) 472-9900, or through Mccafferty, Karla via phone (541) 476-2373.
Contact Information
Primary practice address
1911 Hazel Ave
Medford OR 97501-1630
Phone: (541) 472-9900
Fax:
Website:
Authorized official contact:
Name: Mccafferty, Karla Master of Public Administration (MPA)
Phone: (541) 476-2373
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1548511694 |
|---|---|
| LBN Legal business name | Options For Southern Oregon |
| DBA Doing business as | Hazel Center Srtf |
| Authorized official | Mccafferty, Karla Master of Public Administration (MPA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2012 |
| Last updated | Dec 16th, 2021 - about 3 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 | 1548511694 | NPPES |
| Oregon | Other | 500500016 | MEDICAID AGENCY PROVIDER #11/08 |
| Oregon | Other | 209973 | MEDICAID AGENCY PROVIDER #11/08 |
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