NPIMap

Organization Active NPI

Alsea Rural Health Care, Inc.

Doing business as Alsea Clinic

  • Rural Health Clinic/Center
  • Alsea, OR
National Provider Identifier
1275576159
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ALSEA RURAL HEALTH CARE, INC.
Doing business as
Alsea Clinic
Practice address
201 N. 4TH St.
Alsea, OR 97324-0229
Phone
(541) 487-7116
Fax
(541) 487-4076
NPI assigned
Jun 14, 2006
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Ms. Mary Ann Carr, FNP
Title
Family Nurse Practitioner
Phone
(541) 487-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X OR Primary

Addresses

Primary practice location

201 N. 4TH St.
Alsea, OR 97324-0229

Mailing address

435 E. Alder St.
PO Box 229
Alsea, OR 97324-0229
Phone (541) 487-7116

Other identifiers 1

IdentifierTypeStateIssuer
267872MedicaidOR

Other names 1

  • Alsea Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1275576159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E. ALDER ST.",
            "address_2": "PO BOX 229",
            "city": "ALSEA",
            "state": "OR",
            "postal_code": "973240229",
            "telephone_number": "541-487-7116",
            "fax_number": "541-487-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N. 4TH ST.",
            "city": "ALSEA",
            "state": "OR",
            "postal_code": "973240229",
            "telephone_number": "541-487-7116",
            "fax_number": "541-487-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSEA RURAL HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-487-7116",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267872",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alsea Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alsea, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.