NPIMap

Organization Active NPI

Oregon Institute of Technology Student Health Center

  • Student Health Clinic/Center
  • Klamath Falls, OR
National Provider Identifier
1285843813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
FP-0000020 Issued in OR
Legal business name
OREGON INSTITUTE OF TECHNOLOGY STUDENT HEALTH CENTER
Practice address
3201 Campus Dr
SE 115
Klamath Falls, OR 97601-8801
Phone
(541) 885-1800
Fax
(541) 885-1866
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marilyn Gran-Moravec, RN, MSN
Title
Administrative Director
Phone
(541) 885-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X FP-0000020 OR Primary

Addresses

Primary practice location

3201 Campus Dr
SE 115
Klamath Falls, OR 97601-8801

Mailing address

3201 Campus Dr
SE 115
Klamath Falls, OR 97601-8801
Phone (541) 885-1800

Other names 1

  • OIT Student Health Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Addictions Treatment9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

3201 Campus Dr
#115
Klamath Falls, OR 97601
Phone (541) 885-1800

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285843813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CAMPUS DR",
            "address_2": "SE 115",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018801",
            "telephone_number": "541-885-1800",
            "fax_number": "541-885-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CAMPUS DR",
            "address_2": "SE 115",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018801",
            "telephone_number": "541-885-1800",
            "fax_number": "541-885-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON INSTITUTE OF TECHNOLOGY STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAN-MORAVEC",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "541-885-1800",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "OR",
            "license": "FP-0000020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OIT Student Health Clinic",
            "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 Aug 22, 2020; 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.