Organization Active NPI

Hillcrest Youth Correctional Facility-Oregon Youth Authority

  • Children's Substance Abuse Rehabilitation Facility
  • Salem, OR
National Provider Identifier
1265866305
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
700035 Issued in OR
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
OREGON YOUTH AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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)CodeLicenseStatePrimary
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.

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.

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.

Verify at the official NPI Registry.