Organization Active NPI

Klamath Alcohol & Drug Abuse

  • Substance Abuse Rehabilitation Facility
  • Klamath Falls, OR
National Provider Identifier
1225068505
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KLAMATH ALCOHOL & DRUG ABUSE
Practice address
310 S 5TH St
Klamath Falls, OR 97601-6108
Phone
(541) 883-2795
Fax
(541) 850-0239
NPI assigned
Jul 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Dee J Dewey
Title
Billing Specialist II
Phone
(541) 883-2795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X OR Primary

Addresses

Primary practice location

310 S 5TH St
Klamath Falls, OR 97601-6108

Mailing address

310 S 5TH St
Klamath Falls, OR 97601-6108
Phone (541) 883-2795

Other names 1

  • Klamath Alcohol & Drug Abuse Other name

National Provider Directory

National Provider Directory

Locations

310 S 5th St
Klamath Falls, OR 97601
Phone (541) 883-2795

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225068505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 5TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016108",
            "telephone_number": "541-883-2795",
            "fax_number": "541-850-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 5TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016108",
            "telephone_number": "541-883-2795",
            "fax_number": "541-850-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH ALCOHOL & DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEWEY",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SPECIALIST II",
        "authorized_official_telephone_number": "541-883-2795",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klamath Alcohol & Drug Abuse",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.