Active NPI
Wasco County Community Corrections
- Addiction (Substance Use Disorder) Counselor
- The Dalles, OR
National Provider Identifier
1013567106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- WASCO COUNTY COMMUNITY CORRECTIONS
- Practice address
- 421 E 7TH St
The Dalles, OR 97058-2607 - Phone
- (541) 506-2570
- Fax
- (541) 506-2571
- NPI assigned
- Sep 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fritz John Bachman
- Title
- Director
- Phone
- (541) 506-2570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
421 E 7TH St
The Dalles, OR 97058-2607
Mailing address
421 E 7TH St
The Dalles, OR 97058-2607
Phone (541) 506-2570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639539315 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fritz.j.bachman@cc.doc.state.or.us | Direct |
National Provider Directory
National Provider DirectoryLocations
421 E 7th St
The Dalles, OR 97058
Phone (541) 506-2570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1013567106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 E 7TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582607",
"telephone_number": "541-506-2570",
"fax_number": "541-506-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 E 7TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582607",
"telephone_number": "541-506-2570",
"fax_number": "541-506-2571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASCO COUNTY COMMUNITY CORRECTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "BACHMAN",
"authorized_official_first_name": "FRITZ",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "541-506-2570",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639539315",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fritz.j.bachman@cc.doc.state.or.us",
"affiliation": "N",
"endpointDescription": "program director email",
"use": "DIRECT",
"useDescription": "Direct",
"useOtherDescription": "direct fax",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "paper",
"address_1": "421 E 7th St",
"city": "The Dalles",
"state": "OR",
"country_code": "US",
"postal_code": "970582607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.