NPIMap

Organization Active NPI

Community Health Alliance

  • Community/Behavioral Health Agency
  • Sutherlin, OR
National Provider Identifier
1396113122
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY HEALTH ALLIANCE
Practice address
323 E Third Ave
Sutherlin, OR 97479-9528
Phone
(541) 440-3532
Fax
(541) 440-3554
NPI assigned
Sep 10, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Janet Holland, LCSW
Title
Executive Director
Phone
(541) 440-3532

Specialties & licenses 1

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

Addresses

Primary practice location

323 E Third Ave
Sutherlin, OR 97479-9528

Mailing address

1600 NW Garden Valley Blvd
Suite 110
Roseburg, OR 97471-8700
Phone (541) 440-3532

Other names 1

  • CHA - Thereputic Learing Classroom Other name

National Provider Directory

National Provider Directory
Tax ID family
Cha - Thereputic Learing Classroom2 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

323 E Third Ave
Sutherlin, OR 97479
Phone (541) 440-4777

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1396113122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW GARDEN VALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718700",
            "telephone_number": "541-440-3532",
            "fax_number": "541-440-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E THIRD AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799528",
            "telephone_number": "541-440-3532",
            "fax_number": "541-440-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-440-3532",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHA - Thereputic Learing Classroom",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sutherlin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.