NPIMap

Organization Active NPI

County of Linn

  • Medical Specialty Clinic/Center
  • Albany, OR
National Provider Identifier
1174282172
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COUNTY OF LINN
Practice address
315 4TH Ave SW
Albany, OR 97321-2338
Phone
(541) 967-3888
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Terri L McQueen
Title
Contract & Recruitment Manager
Phone
(541) 967-3866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

315 4TH Ave SW
Albany, OR 97321-2338

Mailing address

PO Box 100
Albany, OR 97321-0031
Phone (541) 967-3888

Other names 1

  • Linn County Department of Health Services - Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000264 OR Part B Supplier - Clinic/Group Practice 7911984638 Receives reassigned benefits from 40 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, OR; Lebanon, OR; Sweet Home, OR

National Provider Directory

National Provider Directory
Tax ID family
Linn County8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

445 3rd Ave SW
Albany, OR 97321
Phone (541) 924-6916

1600 S Main St
Lebanon, OR 97355
Phone (541) 451-5932

799 Long St
Sweet Home, OR 97386
Phone (541) 367-3888

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1174282172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210031",
            "telephone_number": "541-967-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 4TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212338",
            "telephone_number": "541-967-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LINN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTRACT & RECRUITMENT MANAGER",
        "authorized_official_telephone_number": "541-967-3866"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linn County Department of Health Services - Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.