The Northstar Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE NORTHSTAR CENTER

Practice address

1195 NW Wall St
Bend, OR 97701-1965

Phone

(541) 385-8657

Fax

(541) 385-0997

NPI assigned

Aug 5, 2010

Organization subpart

Yes

Parent organization

CRC HEALTH INCAs reported in NPPES

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

Authorized official

Name

Mr. Sean Germain Fievet

Title

Executive Director

Phone

(541) 385-8657

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1023322690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011965",
            "telephone_number": "541-385-8657",
            "fax_number": "541-385-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011965",
            "telephone_number": "541-385-8657",
            "fax_number": "541-385-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NORTHSTAR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRC HEALTH INC",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "FIEVET",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "GERMAIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-385-8657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Bend, OR
• Providers in Bend, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.