NPIMap

Organization Active NPI

Grants Pass Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Bend, OR
National Provider Identifier
1295280451
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRANTS PASS TREATMENT CENTER
Practice address
155 NE Revere Ave
Ste 150
Bend, OR 97701-4147
Phone
(936) 524-2837
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Mr. Matt Owen
Title
Owner
Phone
(541) 617-4544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

155 NE Revere Ave
Ste 150
Bend, OR 97701-4147

Mailing address

1885 NE 7TH St
Grants Pass, OR 97526-3403
Phone (936) 524-2837

Other names 1

  • ORTC LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grants Pass Treatment Center9 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

155 NE Revere Ave
Ste 150
Bend, OR 97701
Phone (541) 617-4544

1885 NE 7th St
Grants Pass, OR 97526
Phone (541) 218-8687

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1295280451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263403",
            "telephone_number": "936-524-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NE REVERE AVE",
            "address_2": "STE 150",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014147",
            "telephone_number": "936-524-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTS PASS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-617-4544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTC LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ORTC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.