Fir Hill Group Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

508233 Issued in OR

Legal business name

FIR HILL GROUP HOME LLC

Practice address

1487 Main St
Dallas, OR 97338-2520

Phone

(503) 623-4230

Fax

(503) 623-4230

NPI assigned

Nov 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela A Hitchcock

Title

Administrator

Phone

(503) 623-4230

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1003061987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 MAIN ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382520",
            "telephone_number": "503-623-4230",
            "fax_number": "503-623-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 MAIN ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382520",
            "telephone_number": "503-623-4230",
            "fax_number": "503-623-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIR HILL GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-623-4230"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "508233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Smiles
• Gregory Scott Fahlman
• Family Connects Oregon
• Shoshana Farber, WHNP
• Adam Jeffrey Fergus
• Fitzgerald Family Medicine
• Flaming Medical Center P.C.
• Tom L Flaming, D.O.
• Isabella Fleener
• David Flynn, LPCI, QMHP

• Mental Illness Community Based Residential Treatment Facility in Dallas, OR
• Providers in Dallas, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.