Active NPI
Hillcrest Youth Correctional Facility-Oregon Youth Authority
- Children's Substance Abuse Rehabilitation Facility
- Salem, OR
National Provider Identifier
1265866305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- License
- 700035
- Legal business name
- HILLCREST YOUTH CORRECTIONAL FACILITY-OREGON YOUTH AUTHORITY
- Practice address
- 2450 Strong Rd SE
Salem, OR 97302-9676 - Phone
- (503) 986-0432
- NPI assigned
- Aug 26, 2013
- Last updated
- Aug 26, 2013
- Organization subpart
- Yes
- Parent organization
- OREGON YOUTH AUTHORITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Troy Gregg
- Title
- Superintendent
- Phone
- (503) 986-0361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 700035 | OR | Primary |
Addresses
Primary practice location
2450 Strong Rd SE
Salem, OR 97302-9676
Mailing address
2450 Strong Rd SE
Salem, OR 97302-9676
Phone (503) 986-0432
National Provider Directory
National Provider Directory- Part of
- Hillcrest Youth Correctional Facility-Oregon Youth Authority
Locations
2450 Strong Rd SE
Salem, OR 97302
Phone (503) 986-0432
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Case Management Agency
- Salem, OR
- NPI 1376355982
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Salem, OR
- NPI 1649604158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377475200000",
"number": "1265866305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 STRONG RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973029676",
"telephone_number": "503-986-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 STRONG RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973029676",
"telephone_number": "503-986-0432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLCREST YOUTH CORRECTIONAL FACILITY-OREGON YOUTH AUTHORITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OREGON YOUTH AUTHORITY",
"enumeration_date": "2013-08-26",
"last_updated": "2013-08-26",
"status": "A",
"authorized_official_last_name": "GREGG",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "503-986-0361"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "OR",
"license": "700035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.