NPIMap

Organization Active NPI

Klamath Walk in Care Center Inc.

  • Urgent Care Clinic/Center
  • Klamath Falls, OR
National Provider Identifier
1346218252
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KLAMATH WALK IN CARE CENTER INC.
Practice address
2655 Shasta Way
Suite #7
Klamath Falls, OR 97603-4455
Phone
(541) 882-2118
Fax
(541) 882-0617
NPI assigned
Mar 8, 2006
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Kathleen A Puffenbarger, FNPNPI 1639148414
Title
Ceo
Phone
(541) 882-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

2655 Shasta Way
Suite #7
Klamath Falls, OR 97603-4455

Mailing address

2655 Shasta Way
Suite #7
Klamath Falls, OR 97603-4455
Phone (541) 882-2118

Other identifiers 1

IdentifierTypeStateIssuer
277731MedicaidOR

National Provider Directory

National Provider Directory

Locations

2655 Shasta Way
Ste 7
Klamath Falls, OR 97603
Phone (541) 882-2118

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": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1346218252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 SHASTA WAY",
            "address_2": "SUITE #7",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034455",
            "telephone_number": "541-882-2118",
            "fax_number": "541-882-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 SHASTA WAY",
            "address_2": "SUITE #7",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034455",
            "telephone_number": "541-882-2118",
            "fax_number": "541-882-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH WALK IN CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "PUFFENBARGER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-882-2118",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277731",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 4, 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.