NPIMap

Organization Active NPI

CRC Health Oregon

Doing business as Allied Health Services Treasure Valley

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ontario, OR
National Provider Identifier
1427109222
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CRC HEALTH OREGON
Doing business as
Allied Health Services Treasure Valley
Practice address
885 SW 30TH St
Ontario, OR 97914-4626
Phone
(541) 823-0101
Fax
(841) 823-0909
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Philip Herschman
Title
Otp Division President
Phone
(760) 918-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X OR Primary

Addresses

Primary practice location

885 SW 30TH St
Ontario, OR 97914-4626

Mailing address

6185 Paseo del Norte
Carlsbad, CA 92011-1152
Phone (760) 918-8700

Other identifiers 1

IdentifierTypeStateIssuer
028384MedicaidOR

Other names 1

  • Allied Health Services Treasure Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRC Health Dba Allied Health16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

6185 Paseo del Norte
Carlsbad, CA 92011
Phone (760) 438-3300

885 SW 30th St
Ontario, OR 97914
Phone (541) 823-0101

Practitioners & affiliated clinicians

Practitioners 2

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427109222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 PASEO DEL NORTE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111152",
            "telephone_number": "760-918-8700",
            "fax_number": "760-918-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SW 30TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144626",
            "telephone_number": "541-823-0101",
            "fax_number": "841-823-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSCHMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OTP DIVISION PRESIDENT",
        "authorized_official_telephone_number": "760-918-8700",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028384",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Health Services Treasure Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.