NPIMap

Organization Active NPI

South County Health District

Doing business as Elgin Family Health Clinic

  • Rural Health Clinic/Center
  • Elgin, OR
National Provider Identifier
1144496241
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
087000017N1 Issued in OR
Legal business name
SOUTH COUNTY HEALTH DISTRICT
Doing business as
Elgin Family Health Clinic
Practice address
1400 Division St
Elgin, OR 97827
Phone
(541) 437-6321
Fax
(541) 437-8585
NPI assigned
May 8, 2008
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Mr. Kim R Montee, M.D.
Title
Medical Director
Phone
(541) 562-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 087000017N1 OR Primary

Addresses

Primary practice location

1400 Division St
Elgin, OR 97827

Mailing address

PO Box 605
142 East Dearborn
Union, OR 97883-0605
Phone (541) 562-6180

Other names 1

  • Elgin Family Health Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1144496241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "address_2": "142 EAST DEARBORN",
            "city": "UNION",
            "state": "OR",
            "postal_code": "978830605",
            "telephone_number": "541-562-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DIVISION ST",
            "city": "ELGIN",
            "state": "OR",
            "postal_code": "97827",
            "telephone_number": "541-437-6321",
            "fax_number": "541-437-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "MONTEE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-562-6180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": "087000017N1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elgin Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.