Foundation Services Group, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

48846299 Issued in OR

Legal business name

FOUNDATION SERVICES GROUP, INC

Practice address

372 SW 1St Ave
Ontario, OR 97914-2734

Phone

(541) 881-1271

Fax

(541) 881-1256

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Linda K. Burks, CADC II

Title

Executive Director

Phone

(541) 881-1271

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1457539785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 SW 1ST AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142734",
            "telephone_number": "541-881-1271",
            "fax_number": "541-881-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 SW 1ST AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142734",
            "telephone_number": "541-881-1271",
            "fax_number": "541-881-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SERVICES GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-881-1271",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "48846299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.