Organization Active NPI

Lane County Oregon

  • Case Management Agency
  • Springfield, OR
National Provider Identifier
1407684392
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LANE COUNTY OREGON
Doing business as
Public Health- Nurse Family Partnership
Practice address
2073 Olympic St
Springfield, OR 97477-3413
Phone
(541) 682-3550
NPI assigned
Jul 23, 2024
Organization subpart
Yes
Parent organization
LANE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Michelle Lynn Peterson
Title
Credentialing Coordinator
Phone
(541) 682-7987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2073 Olympic St
Springfield, OR 97477-3413

Mailing address

151 W 7TH Ave Ste 210
Eugene, OR 97401-2676

Other identifiers 1

IdentifierTypeStateIssuer
500845271MedicaidOR

Other names 1

  • Public Health- Nurse Family Partnership Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lane County Mental Heal7 organizations share this tax ID, including this one
Part of
Lane County Mental Heal

Other organizations with this tax ID 6

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

Locations

151 W 7th Ave
Ste 520
Eugene, OR 97401
Phone (541) 682-4035

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1407684392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE STE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773413",
            "telephone_number": "541-682-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE COUNTY OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANE COUNTY",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "541-682-7987"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500845271",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health- Nurse Family Partnership",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.