Organization Active NPI

Veterans Affairs

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Roseburg, OR
National Provider Identifier
1114030210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
VETERANS AFFAIRS
Practice address
913 NW Garden Valley Blvd
Ward 2, BLDG 2, Sartp
Roseburg, OR 97470-6523
Phone
(541) 440-1000
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Kay WitbeckNPI 1639256431
Title
Addiction Therapist
Phone
(541) 440-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

913 NW Garden Valley Blvd
Ward 2, BLDG 2, Sartp
Roseburg, OR 97470-6523

Mailing address

1281 SE Magnolia Dr
Roseburg, OR 97470-4372
Phone (541) 440-1000

Other names 1

  • VA Hospital Other name

National Provider Directory

National Provider Directory

Locations

913 NW Garden Valley Blvd
Bldg 2
Roseburg, OR 97471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114030210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 SE MAGNOLIA DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704372",
            "telephone_number": "541-440-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "address_2": "WARD 2, BLDG 2, SARTP",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706523",
            "telephone_number": "541-440-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITBECK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADDICTION THERAPIST",
        "authorized_official_telephone_number": "541-440-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VA Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.