Southern Cascade Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTHERN CASCADE BEHAVIORAL HEALTH LLC

Practice address

5644 Mason LN
Klamath Falls, OR 97601-9379

Phone

(541) 591-6658

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Wilson

Title

System Administrator

Phone

(541) 591-6914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1083337877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 MASON LN",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 MASON LN",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019379",
            "telephone_number": "541-591-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CASCADE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SYSTEM ADMINISTRATOR",
        "authorized_official_telephone_number": "541-591-6914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.