NPIMap

Organization Active NPI

Umatilla-Morrow Esd

  • Case Management Agency
  • Pendleton, OR
National Provider Identifier
1154565190
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
UMATILLA-MORROW ESD
Practice address
2001 SW Nye Ave
Pendleton, OR 97801-4416
Phone
(541) 966-3100
Fax
(541) 276-4245
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Dr. Mark Mulvihill
Title
Superintendent
Phone
(541) 966-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2001 SW Nye Ave
Pendleton, OR 97801-4416

Mailing address

2001 SW Nye Ave
Pendleton, OR 97801-4416
Phone (541) 966-3100

Other identifiers 1

IdentifierTypeStateIssuer
500606470MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Imesd4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1154565190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SW NYE AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014416",
            "telephone_number": "541-966-3100",
            "fax_number": "541-276-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SW NYE AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014416",
            "telephone_number": "541-966-3100",
            "fax_number": "541-276-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMATILLA-MORROW ESD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "MULVIHILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "541-966-3102",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500606470",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.