Active NPI
Lane County Oregon
- Case Management Agency
- Springfield, OR
National Provider Identifier
1407684392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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 COUNTY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500845271 | Medicaid | OR |
Other names 1
- Public Health- Nurse Family Partnership
National Provider Directory
National Provider Directory- Tax ID family
- Lane County Mental Heal
- 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.
-
- Health Maintenance Organization
- Eugene, OR
- NPI 1588857635
-
- State or Local Public Health Clinic/Center
- Eugene, OR
- NPI 1801958988
-
- Community/Behavioral Health Agency
- Eugene, OR
- NPI 1275072506
-
- Case Management Agency
- Eugene, OR
- NPI 1588497515
-
- Methadone Clinic
- Eugene, OR
- NPI 1689053688
-
- Community/Behavioral Health Agency
- Eugene, OR
- NPI 1982849121
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.