NPIMap

Organization Active NPI

County of Douglas

  • Community/Behavioral Health Agency
  • Roseburg, OR
National Provider Identifier
1366697690
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF DOUGLAS
Practice address
215 SE Jackson St
Roseburg, OR 97470-3341
Phone
(541) 464-6404
Fax
(541) 464-6420
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Ms. Christina L McMahan
Title
Juvenile Department Director
Phone
(541) 440-4415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

215 SE Jackson St
Roseburg, OR 97470-3341

Mailing address

1036 SE Douglas Ave
Justice Building, Room 203
Roseburg, OR 97470-3301
Phone (541) 464-6404

Other names 1

  • Douglas County Shelter Care Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Douglas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1036 SE Douglas Ave
Rm 203
Roseburg, OR 97470

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1366697690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SE DOUGLAS AVE",
            "address_2": "JUSTICE BUILDING, ROOM 203",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703301",
            "telephone_number": "541-464-6404",
            "fax_number": "541-464-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE JACKSON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703341",
            "telephone_number": "541-464-6404",
            "fax_number": "541-464-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "JUVENILE DEPARTMENT DIRECTOR",
        "authorized_official_telephone_number": "541-440-4415",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas County Shelter Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.