NPIMap

Organization Active NPI

Klamath County Juvenile Department

  • Children's Substance Abuse Rehabilitation Facility
  • Klamath Falls, OR
National Provider Identifier
1467885145
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
KLAMATH COUNTY JUVENILE DEPARTMENT
Practice address
3331 Vandenberg Rd
Klamath Falls, OR 97603-3730
Phone
(541) 851-3856
Fax
(541) 885-6755
NPI assigned
Aug 16, 2013
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
KLAMATH COUNTY, OREGONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Mr. Dan Golden
Title
Director
Phone
(541) 851-3856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary

Addresses

Primary practice location

3331 Vandenberg Rd
Klamath Falls, OR 97603-3730

Mailing address

3331 Vandenberg Rd
Klamath Falls, OR 97603-3730
Phone (541) 851-3856

National Provider Directory

National Provider Directory
Tax ID family
Klamath County Health Dept4 organizations share this tax ID, including this one
Part of
Klamath County Health Dept

Other organizations with this tax ID 3

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

Locations

3331 Vandenberg Rd
Klamath Falls, OR 97603
Phone (541) 851-3856

Practitioners & affiliated clinicians

Practitioners 3

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": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1467885145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-851-3856",
            "fax_number": "541-885-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-851-3856",
            "fax_number": "541-885-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH COUNTY JUVENILE DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLAMATH COUNTY, OREGON",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-851-3856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.