Active NPI
Mt Emily Safe Center
- Voluntary or Charitable Agency
- La Grande, OR
National Provider Identifier
1467573485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- 67369182
- Legal business name
- MT EMILY SAFE CENTER
- Practice address
- 2107 3Rd St
La Grande, OR 97850-2242 - Phone
- (541) 963-0602
- Fax
- (541) 962-0345
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Akers
- Title
- Office Assistant
- Phone
- (541) 963-0602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | 67369182 | OR | Primary |
Addresses
Primary practice location
2107 3Rd St
La Grande, OR 97850-2242
Mailing address
PO Box 146
La Grande, OR 97850-0146
Phone (541) 963-0602
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57169744 | Other | OR | BLUE CROSS BLUE SHIELD |
| 287127 | Medicaid | OR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D1085080 | Mt Emily Safe Center | Certificate of waiver | Jun 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
2107 3rd St
La Grande, OR 97850
Phone (541) 963-0602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- La Grande, OR
- NPI 1326354986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1467573485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 146",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978500146",
"telephone_number": "541-963-0602",
"fax_number": "541-962-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 3RD ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502242",
"telephone_number": "541-963-0602",
"fax_number": "541-962-0345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT EMILY SAFE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "AKERS",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OFFICE ASSISTANT",
"authorized_official_telephone_number": "541-963-0602"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "OR",
"license": "67369182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "57169744",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287127",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.