Organization Active NPI

Mt Emily Safe Center

  • Voluntary or Charitable Agency
  • La Grande, OR
National Provider Identifier
1467573485
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
67369182 Issued in OR
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

Updated by the provider on Feb 19, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
57169744OtherORBLUE CROSS BLUE SHIELD
287127MedicaidOR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1085080Mt Emily Safe Center2107 3Rd St, La Grande, OR 97850Certificate of waiverJun 9, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.