NPIMap

Organization Active NPI

Deschutes County Adult Jail

  • Local Education Agency (LEA)
  • Bend, OR
National Provider Identifier
1083838148
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
081001496 Issued in OR
Legal business name
DESCHUTES COUNTY ADULT JAIL
Practice address
63333 Highway 20
Bend, OR 97703-8587
Phone
(541) 312-6400
Fax
(541) 318-5758
NPI assigned
Apr 12, 2007
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Michael Shults
Title
Jail Captain
Phone
(541) 617-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 081001496 OR Primary

Addresses

Primary practice location

63333 Highway 20
Bend, OR 97703-8587

Mailing address

63333 Highway 20
Bend, OR 97703-8587
Phone (541) 312-6400

National Provider Directory

National Provider Directory
Tax ID family
Deschutes Co Mental Hea12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

63333 Highway 20
Bend, OR 97703
Phone (541) 312-6400

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1083838148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63333 HIGHWAY 20",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038587",
            "telephone_number": "541-312-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63333 HIGHWAY 20",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038587",
            "telephone_number": "541-312-6400",
            "fax_number": "541-318-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHUTES COUNTY ADULT JAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "SHULTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "JAIL CAPTAIN",
        "authorized_official_telephone_number": "541-617-3383"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OR",
            "license": "081001496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.