Northwest Country Place Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

13-1202 Issued in OR

Legal business name

NORTHWEST COUNTRY PLACE INC

Practice address

421 SE Evans St
McMinnville, OR 97128-6111

Phone

(503) 472-3141

Fax

(503) 472-9334

NPI assigned

Oct 10, 2006

Organization subpart

Yes

Parent organization

NORTHWEST COUNTRY PLACE INCAs reported in NPPES

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

Authorized official

Name

Mr. Kelly J Odegaard

Title

Administrator

Phone

(503) 472-3141

Specialties & licenses 1

Addresses

Other names 1

• Oakwood Home Services Doing business as

Part of

Northwest Country Place

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Country Place

  • Skilled Nursing Facility
  • McMinnville, OR
  • NPI 1134163959
  NPPES parent name

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1497843080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SE EVANS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286111",
            "telephone_number": "503-472-3141",
            "fax_number": "503-472-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SE EVANS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286111",
            "telephone_number": "503-472-3141",
            "fax_number": "503-472-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNTRY PLACE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COUNTRY PLACE INC",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "ODEGAARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-472-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond P. Nolan, M.D.
• Nora M Collins, Inc
• Northland Hearing Centers, Inc
• Northwest Community Counseling
• Northwest Country Place
• Northwest Renal Clinic, Inc.
• Northwest Spine and Sport LLC
• Rebecca Norton
• Natalia Novikoff
• Breaden Nowlin, DC

• Home Health Agency in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.